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Plan Review Checklist for New Structures / Addition <br /> Address/ PID/ Legal: --?2-q <br /> Description of work: j�W H-z�lNl j <br /> Septic review by: !V/ Date Approved: 1 l' 3 <br /> Zoning review by: Date Approved: — <br /> Building review by: Date Approved: <br /> Grading review by: _ Date Approved: <br /> :at �_j <br /> Zoning File#: C,S 2S Resolution#: We 3 Resolution Date: /0 <br /> Zoning District Fire Depart ent Post Office School Distri t <br /> Zoning: Lot Are / �el^ v SF/AC Width: Depth: <br /> Survey Submitted: s No Date of Survey:M2MW <br /> Proposed Setbacks: <br /> Front ake Rear(Street) ( � S E W ) ( N (S E W ) Other Buildings W tland <br /> Slde Ide <br /> _ 101 <br /> ^ � i <br /> Building Defined Height: �J,'7� / Building Peak Height: ";)0, #of Stories 00 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 t e highest <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of flat roof, <br /> the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or t e <br /> mansard roof,or the uppermost point on a round uppermost point on a round or othe arch-type <br /> or other arch-type roof roof <br /> SUBT 91 half the distance between the highest window and SUBTRACT half the distance between the highe t window <br /> highest roof peak of a pitched roof and highest roof peak of a pitched r of <br /> SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and t e highest <br /> I „ space floor and the highest existing grade within existing rade within the foundation <br /> V e foundation or 10 feet,whichever is less. EQUALS Defined building height <br /> EQUjgj befined building height <br /> Lot Coverage: L 0 SF � % <br /> SbLoreland District MCWD Permit Received Average Lakeshore Setback O 4(; <br /> Yes <br /> �KNo <br /> O Yes 0 No N/A <br /> Yes 0 No es 0 No 0 N/A 0 Yes <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Propose Vagiance Required CUP Requi d <br /> 0-75' ,(�� Zi ! 0 Y s 0 No 0 Yes No <br /> 75-250' ,� ?JZ lv Type(s): Type(s): <br /> 250-500' d G6 /I <br /> (.�'-y,V-vt A 4-h`a,-eA <br /> 500-1000' - {� `'�`J„6,t(IV L <br /> REMARKS (in-house): R w��-" I wow&--� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />