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Plan-Review-Checklist for New--Structures / Additions <br /> Address/ PID/ Legal: ' ( ,� 1 � �A) <br /> Description of work: Gv'- l!�✓C�� �dj-yy�Q� <br /> Septic review by: ` Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: S-- 00 <br /> Grading review by: N [ A Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> F-Zoning District Fire Department Post Office School District <br /> R - /A <br /> Zoning: Lot Area: 11�2 f R</AC Width: Depth: <br /> Survey Submitted: 19'�es ❑ No Date of Survey: 2005- '.4S b', <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N < W ) Other Buildings Wetland <br /> Side <br /> Ch_5Q�S <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: SES <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 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 Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house):__ 5 it�vc-f ` ryn I�c" b A-�d, �x�m t I�tp,-{�C' d c <br /> b trc�s -eye v(ei-O " , 4w5e- <br /> Updated: 2009 <br /> z:\forms\plan an review checklist.docx <br /> QA V7. <br />