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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: g15 WQ 4u c 1V. <br /> Description of work: I kUAu ‘S8tA <br /> Septic review by: Date Approved: <br /> Zoning review by: ITIT,�,,!L4 ' MU/VI t Date Approved: G '2.q'[2i <br /> Building review by: _ _AVIV Date Approved: G • 7---7 -1 Z. <br /> IF A <br /> Grading review by: 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: ❑ Yes o C Date of ey: CO'— lV sI L <br /> Proposed Setbacks: Sid PtQn J i <br /> Front,(.,6040. Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> LD1 <br /> Side Side <br /> Building Defined Height: N Pr Building Peak Height: #of Stories Ok?: ❑ 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 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 existing grade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined building height <br /> EQUALS Defined building height� <br /> Lot Coverage: P SF ok <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> / <br /> D Yes 0 No 0 N/A 0 Yes o <br /> 0 Yes p'No 0 Yes 0 No N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing i Proposed Variance Requi d CUP Require <br /> 0-75' 0 Yes No 0 Yes No <br /> 75-250' Type(s): Type(s): rr <br /> 250-500' <br /> • <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />