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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 015 ljJ / o2._--A- • G C.'t0 Permit No.: <br /> Description of work: lc LYYVt) t::C.f Date Rec'd: j-/`'f-ZA9/s <br /> Septic review by: /'V 1 4 Date Approved: <br /> Zoning review by: /l/ /14 Date Approved: <br /> Building review by: CQ/kw-- Date Approved: / -2.3- ZOIS <br /> Grading review by: Al/+4" Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Z ing: Lot Area: SF/AC Width: Lot Coverage: SF <br /> Surve Submitted: I] Yes 17 No Date of Survey: Revised date(?): <br /> Proposed etbacks: <br /> Front (Lake Rear(Street) ( N S E W ) ( N S F Other Buildin. Wetland <br /> Side <br /> I <br /> Defined Height: Peak N-' �(' , eet= (Existing Contour) <br /> Perimeter(linear feet)= N�� below grade #of Stories <br /> FOR A BUS' " `� / ,,,, 7UNDATION:; ,, <br /> ,, <br /> The distance between the top of <br /> slab and the highest point of the <br /> ,... <br /> , ,. -- ,„ <br /> . , , <br /> roof. <br /> If you have a.. <br /> 'Ns ^ I GABLE OR HIPPED ROOF <br /> \ �` A (no windows): Subtract half <br /> \> the distance between the <br /> (*e•-• <br /> , I highest point of the roof to <br /> , \ i 1 . `--)' the low point of the <br /> \: � corresponding gable or <br /> hipped roof <br /> •• <br /> GABLE OR HIPPED FuOF <br /> I. VA' <br /> ,t� �� ..l (with windows): Subtract <br /> `/ __,, ,,,,„,,,,..70 Z' half the distance between <br /> the top of the highest <br /> 0 1 OrAill window and the highest <br /> (� point of the roof <br /> /°(tl/ _ • ALL OTHER ROOF TYPES <br /> SUL (flat,mansard,etc):No <br /> (BM, _ ....d the subtraction. <br /> EXIS adjcent to the ADDITION Add the distance between the top <br /> GRAG _..10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUAL _.nn;. building height EXISTING grade adjacent to the foundation. <br /> RADES) <br /> E. ALS Defined building height <br /> Average Lakeshore Set.ack <br /> Shoreland District MCWD Permit Met? Bluff <br /> O Yes • No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A—see attached '-tback: <br /> Stormwater 'uality Existing Hardcover Proposed <br /> Overlay r[strict (%and sf) Hardcover Variance Required CU', equired <br /> Tier(c• cle one) (%and sf) <br /> 0 Yes 0 No 0 Yes ` ■ No <br /> 1 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx Ag) <br /> Cf 141-AM L— <br />