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. <br /> . Plan Review Checkiist for New Structures / Additions <br /> • Address/PID/ Legal: �,'tt�1 t� r5 �-'SSL� (�o� <br /> Description of work: t� � � �— <br /> Septic review by: Date Approved: �� '��'�L-- <br /> Zoning review by: �L Date Approved: � �' � '(1--� <br /> Building review by: Date Approved: i n -3u �-�i Z., <br /> Grading review by: ������`�/1�- Date Approved: o d ��-� l���- <br /> � <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> �,� <br /> Zoning: Lot Area:✓• SF/AC Width: Depth: <br /> Survey Submitted: I 'es 0 No Date of Survey: (�'�1'�Z-- <br /> Proposed Setbacks: <br /> Front (L e) Rear(�et) ( N � E W ) ( N S E W ) Other Buildings Wet{and <br /> Side Side '(� <br /> 22Z lQ� � L 0' 73 ' <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A$UILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/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,orthe uppermost point on a round uppermostpoint 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 the basement ffoor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within existin rade withinthefioundation <br /> the foundation or 10 feet, whichever is iess. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Average•Lakeshore Setback Bluff <br /> / ❑ Yes � No � N/A ❑ Yes No <br /> ❑ Yes [�/1VO � Yes ❑ No � <br /> / Permit Number: Setback: <br /> Hardcover:Zones Existin Proposed Variance Requi CUP Require <br /> D-75' I 0 Yes No ❑ Yes No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09l11/2009 <br /> z:\forms\plan review checklist.docx <br />