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Plan Review Checklist for New Structures /Additions <br /> Address/PID/Legal: Z S TO Iv(C A Au i✓ <br /> Description of work: 3 K 3 C.AN 5:- <br /> Septic <br /> Septic review by: /4_-/A Date Approved: <br /> Zoning review by: DateApproved; <br /> Building review by; Date Approved; -- I Z <br /> Grading review by: Nl/-(- Date-Approved: <br /> Zoning Fife#: Resolution#: Resolution Date: <br /> Zonis ;District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width- Depth: <br /> Survey'Submitted: D'Yes .D No Date ofSurvey:, <br /> Proposed•Setbacks: <br /> =: `Front(L-ake), Rear(Street) ( '"N S 'E ,>4i11 ) ( N S E W ) OtherBuihfings Wetland <br /> w . <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: D YES <br /> FOR A'BUILDING WITH ABASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDA-rioN: <br /> START WITH the distance between the basement#loor/crawl START the distance betweenthe slab andthe highest <br /> space floor and the highest roof peak,the,top of - WITH roof peak,the top of the comice of a flat roof, <br /> the:cornice of a flat roof,the,deck line of a the:deck line of a>mansardcroof;nr:the <br /> mansard 7roof,or the uppermost point on a round uppermost point on 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 betweenthe highest window <br /> highest roof:peak of a, itched roof and highest roof:peak of pitched roof <br /> SUBTRACT the distance between the basement floor/crawl ADD the distance between thesiab 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-buildin height <br /> Lot Coverage: SF <br /> Shoreland-District W.C.WD P-ermit Received Avera e=Lakeshore:Setback Bluff <br /> _M Yes 0 No D -N/A M Yes D No <br /> 0 Yes G No D Yes 0 No n N/A <br /> Permit Number: Setback: <br /> HardcoverZones Existing Proposed Variance Required CUP_Required <br /> 0-75' 0 Yes D No D Yes D No <br /> 75-250'. Type(s): Type(s): <br /> 250-.500' <br /> 500-1:000' <br /> REMARKS (in-house): A/0�1 e/11VW&C I-4ME/V T 46-2 :29- 11f0:5 t 3) <br /> Updated: 09/11/2008 <br /> z:\forms\plan review checklist.docx <br />