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, Plan Review Checklist for New Structures / Additions <br /> Address/PID/ Legal: <br /> � l c�3 SJ�ra ��c��t.� <br /> Description of work: �C7� � i /�/rv/ �US `2l !/(J�L.��"� <br /> Septic review by: 1'�J � Date Approved: � ` � �' � � <br /> Zoning review by: Date Approved: � !l�� <br /> Building review by: Date Approved: � '�-' �2- <br /> Grading review by: S Date Approved: � v <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lot SF/AC Width: Depth: <br /> Survey Submitted: � No Date of Survey:�� � � I 7/ <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Buitding Peak Height: #of Stories Ok?: � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement flooN crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the <br /> mansard roof,or the uppermost point on a round uppermost point on a round or other arch-type <br /> or other arch- e roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland Distr'ct MCWD Permit Received Avera e Lakeshore Setback Blu <br /> 0 Yes 0 No � N/A 0 Yes <br /> � Yes o � Yes 0 No N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance R uir d CUP Re re <br /> � Yes � Yes o <br /> ' � .� � , v TYPe�S)� TYPe(S)� <br /> 0' <br /> REMARKS (in-house): L V v �G{.S G`�� ��l1l�Gu'�-► J <br /> � �L 'Z� �'��`� <br /> Updated: 09/11/20 <br /> z:\forms\plan review checklist.docx <br />