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Plan Review Checklist for New Structures / Additions <br /> Address/ PI D/ LegaL �%{3 L ��� ��s F' '�- <br /> Descriptionofwork: �X/��trlc� de-C.�. <br /> Septic review by: �L�` Date Approved: .S-� �� - i� <br /> Zoning review by: v Date Approved: � <br /> Building review by: t�,` � 1,.,,,,,,y„ Date Approved: �' 2"7-1 p <br /> Grading review by: �' Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> ' �� <br /> Zoning: Lot Area: • � S SF/AC Width: -�-���f'� � Depth: �-�- ��i`� <br /> Survey Submitted: �'es ❑ No Date of Survey: c�S� � `M , SW� <br /> Pro osed Setbacks: �Z-� <br /> ��nnF/I �L�] <br /> �*�� -�ea�-(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> � Side Side <br /> �-�zso'"' iov¢A,�o�kd�s� ' �(�'.� �� �����; ? � iOC, ,. <br /> Building Defined Height: �i �" Building 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 floor/crawl START the distance between the slab and the highest I, <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-t 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 fhe 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: �/k SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> / ❑ Yes ❑ No ❑ N/A � ❑ Yes ❑ No <br /> ❑ Yes �No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance Required CUP Required <br /> � 0-75 ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' I �� <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />