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Plan Review Checklist for New Structures / Additions <br /> Address%PID/ Legal: <br /> Description of work: G(/NJ l� <br /> Septic review by: / I [ /A Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: t. L,i, Date Approved: LA'- — 10 <br /> Grading review by: " mlfM ANZcNi u� �,h$ Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> t_- — k e) <br /> Zoning: Lot Area: 2 Q, Z00 SF/AC Width: Depth: <br /> Survey Submitted: E34es ❑ No Date of Survey: 3/(qI ID <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N SED W ) ( N S E l� Other Buildings Wetland <br /> Side Side <br /> IL 35. 5 <br /> Building Defined Height: 6 Building Peak Height: #of Stories Ok?: VYES <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 /> y 'C-- 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 buildinqIheight <br /> Lot Coverage: SF �j , <br /> Shoreland District CWD Permit Received Average Lakeshore Setback Bluff <br /> Yes ❑ No ❑ N/A ❑ Yes o <br /> Yes ❑ No ❑ Yes ❑ No CYN/A <br /> Permit Number: 1� _ Q(o� Setback: <br /> Hardcover Zones Existing Proposed Var•ance Required CUP Required <br /> 0-75' Yes 13No ❑ Yes o <br /> 75-250' N /A Type(s): Type(s): <br /> 250-500' Nre�h,rl preA <br /> V�a,rtArcQ, c�Ynv�(Q.d <br /> 500-1000' <br /> ) 7 -7 a/U bK Re-5 <br /> REMARKS (in-house): <br /> sve --- - - <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> CA , 4l� <br /> f� J I�Q <br />