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65a_r C&4Ld p eme L <br /> Plan Review Checklist for New Structures / Additions <br /> Address/ PID/Legal: �7�, oqu 2an-e,/ <br /> Description of work: l^4ete- IeA,v c(GCL 4i4 gd- A#X—dud ly LjWse. <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved:_ l - , i_(n <br /> Grading review by: YW Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> i <br /> Zoning: Lot Area: ( G SF/AC Width: 7 Depth: <br /> Survey Submitted: �s O No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lak44 Rear(Street) ( N S(SVW ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: 110- #of Stories Ok?: 0 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 <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-type roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> highest roof peak of a pitched roof and highest roof peak of a pitched 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 existing rade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF <br /> Shoreland District MCWD Permit eceived Average Lakeshore Setback Bluff <br /> 0 Yes crNo 0 N/A0 Yes 0 No <br /> Yes 0 No 0 Yes 0 Ido 0 N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0'N0 0 Yes 0 No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' 3(•SvIO <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> rVorms\plan review checklist.docx <br />