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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: <br /> Description of work: N�Gv '�t17✓Y'�� Gtr O(�`' <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: -7 - I-1 <br /> Grading review by: --Irate Approved: <br /> Zoning File* Z' Resolution#: ( 17 Resolution Date: Z- <br /> Zoning District Fire De artmentPost Office School District <br /> r?_1 A- :::�:i I - I <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Surrey Submitted: *Yes 0 No Date of Survey: 64 Vet/ <br /> Proposed Setbacks: <br /> F,�Qnt (Lake) Rear(Street) S E W ) ( NJi <br /> E W ) Other Buildings Wetland <br /> �1-- Side de <br /> AZh/Z f Y <br /> Building Defined Height: Building Peak Height: #of Stories Ok?AYES <br /> 1 _ WE <br /> �7f 7 <br /> FOR A BUILDING WITH ABASEMENT OR CRAWL SPACE: v(�1 ✓"! 1 .v 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 /> — <br /> SUBTF half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> l/ <br /> highest roof peak of a pitched roof and highest roof peak of a pitched roof <br /> Cl SU RA T 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 I Defined building height <br /> EQUALS 92fined building height <br /> Lot Coverage: SF <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff, <br /> 0 Yes 0 No 0 N/A 0 Yes No <br /> 0 Yes No 0 Yes 0 No N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Required UP Re uired <br /> 0-75' 0 Yes o 31 Yes 0 No <br /> 75-250' Type(s): Type( <br /> 250-500' Ve ra l tc(hti�G�-e <br /> 500-1000' 1 <br /> REMARKS (in-house): Vl�� VlJ -0 <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />