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� � Plan Review Checklist for New Structures / Additions <br /> Addr ss/ PID/ Legal: � � � � .s� -S S� � j�p� c� <br /> Des iption of work: � �.- �o d � � — �X--�Pl.�o r C�✓ o` C !C - <br /> 1 <br /> Septic review by: w� Date Approved: �� � .� � ( <br /> Zoning review by: Date Approved: ��� � � <br /> Building review by: 41C� �a(i1n,r,�-- Date Approved: �Z � �`{ - � � <br /> Grading review by: /J/I� Date Approved: <br /> Zoni g File#: �{�" Resolution#: �V i"'s Resolution Date: (�I� <br /> Zonin District Fire De artment Post Office School District <br /> ���� <br /> Zonin : Lot Area: ��I b 1� Z 7 3�F/AC Width: Depth: <br /> Surv y Submitted: �s 0 No Date of Survey: 11 — ZZ J i � <br /> Pro sed Setbacks: <br /> Fr nt�,�a� Rear(Stre�t) ( N S E � ( N S E W ) Other Buildings Wetland <br /> r Side Side <br /> �. <br /> � � �� � � , � � N� <br /> Buildi g Defined Height: Building Peak Height: #of Stories Ok?: 0 YE� <br /> FOR BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> STA T 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 mans of, or the <br /> mansard roof,or the upp ost point on a round uppermost poir round or other arch-type <br /> or other arch-t e r roof .,..---" <br /> SUB RACT half the distange-between the highest window and SUBTRACT hal�the distance between the highest window <br /> hi hest rop� �eak of a itched roof �end hi hest roof eak of a itched roof <br /> SUB RACT the di ance 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 /> EQU LS Defined buildin hei ht <br /> Lot C verage: �� SF % <br /> horeland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes � No 0 N/A 0 Yes No <br /> Yes �o � Yes �No � N/A <br /> Permit Number: Setback: <br /> H rdcover Zones Existin Pro osed Variance Re uired CUP Re uired <br /> 0-75' 0 Yes � No 0 Yes 0 No <br /> 75-250' �,. Type(s): Type(s): <br /> 250-500' <br /> 50p:1000' <br /> REMA KS (in-house): � /c.�,v� �'� �f 7 � ,G'7 Gf��GC�tiC'� ��iG�L�iILl�- � � <br /> Update : 09/11/2009 <br /> z:\forms lan review checklist.docx <br />