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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/Legal: /� \, )V 1A tA /I P" /lJJ <br /> Description of work: l Q Aj N IDO rC H <br /> Septic review by: w Date Approved: C <br /> 4� . r,� <br /> Zoning review by: Iv\ Date Approved: 0 L�l - 1z_ <br /> Building review by: Date Approved: (3 'ZS ' / Z– <br /> Grading review by: �I �" Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: .21"�es 0 No Date of Survey: 'V-2.811— <br /> Proposed <br /> –O 11— <br /> Pro osed Setbacks: <br /> Fron Rear ( N E W ) ( N S E W ) Other Buildings Wetland <br /> lide Side <br /> l clo <br /> Building Defined Height: Building Peak Height: #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 li f a the deck line of a man oo, or the <br /> mansard roof,or the upper point on a round uppermost poin a round or other arch-type <br /> or other arch-type roo roof <br /> SUBTRACT half the distan-eA561ween the highest window and SUBTRACT halfAh6 distance between the highest window <br /> highest ro eak of a pitched roof nd highest roof peak of a pitched roof <br /> SUBTRACT the d' nce between the basement floor/crawl ADD the distance between the slab and the highest <br /> ce 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 Received Average Lakeshore Setback Bluff od <br /> N/ 0 Yes 0 No N/A 0 Yes No <br /> 0 Yes Pl o 0 Yes 0 No N/A <br /> / Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Re uire CUP Re uired <br /> 0-75' 0 Yes No 0 Yes No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />