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Plan Review Checklist for New Structures / Additions <br /> Address/PID/Legal: Z`1°l S l,Ulq`►t:'C�'�OvJ�1 fLp" <br /> Description of work: SN V3 <br /> Septic review by: N/A Date Approved: <br /> Zoning review.by: C-/Ll. Date Approved: <br /> Building review by: oeo. Date Approved: i U i Z -ZAr 2 <br /> Grading review by: /'L-1 K11 Date Approved; <br /> Zoning File* Resolution#: Resolution Date:` <br /> Zoning District Fire'Depart ment Post Office SchoolDistrict <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: 0'Yes 0 No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake) Rear ) l 'N j E AIS E W ) -Other Buildings Wetland <br /> Side Side <br /> 25? f 'fy 25 z2o 12 ` a o' <br /> Building Defined Height: O Building-Peak Height: #of Stories 00: YES <br /> FOR A'BUILDING WITH ABASEMENT 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 andthe highest <br /> space floor and the highest roof peak,the top of WITH roof peak,:the top of the comice:of a flat roof, <br /> the cornice of:a flat roof,:the.deck line of a the deck line ofa=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 arch4ype roof roof <br /> SUBTRACT half the distance between.the highest window and SUBTRACT half the distance between the highest window <br /> highest roofpeak of a pitched roof and highest hest roof: eak 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 buildingheight <br /> Lot Coverage: SF -0/o <br /> Shoreland'District M,CWD PerrnitReceived Avera a Lakeshore Setback `Bluff <br /> D, Yes .0 No �N/A 0 Yes ,No <br /> 0 Yes ,R�No 0 Yes 3 No )a'N/A <br /> Permit Number: Setback: <br /> Hardcover':Zones Existing Proposed Variance Required CUP:Required <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 />