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Plan Review Checklist for New Structures / Additions <br /> Address/PID/Legal: � P7 A- .A i-.,'A <br /> Description of work: c � S Iz�✓v c4e11r� � Q,vt�l j p <br /> Septic review by: N Q Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: Date Approved: <br /> Zoning File#: y Resolution#: Resolution Date: 0 <br /> Zoning District Fire Department_ Post Office School District <br /> Zoning: Lot Area: 0 179 *W1 AC Width: Depth: AV. 2SQ <br /> Survey Submitted: 0 Yes 0 No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) (ON S E Vy ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> q Z 6�c <br /> da <br /> Building Defined Height: Building Peak Height: -7 #of Stories Ok?: ES <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 I 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 existinq qrade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS I Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF <br /> Shoreland District MCWD Permit Received vera a Lakeshore Setback Bluff <br /> // 0 Yes 0 No /A <br /> IU14es 0 No 0 Yes 0 No 0 N/A 0 Yes o <br /> Permit Number: Vhf l>41lCz Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75-250' T pe(s): 1�.(�rdcoa-� Type(s): <br /> 250-500' "S <br /> 500-1000' 2- <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />