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. Plan Review Checklist for New Structures / Additions <br /> Address/ PID/Legal: g 1'c w 6-42A-Th 13 Ly 6 n <br /> Description of work: St;iv tOR. \--(--o Qst,.acQ <br /> C Q u t I 1 A j <br /> Septic review by: A)/A Date Approved: <br /> Zoning review by: 14/t%'tttj/J ?. Date Approved: j J <br /> Building review by: o (0,,,,,,,,,_ Date Approved: e- 7- z_o t 1 <br /> Grading review by: 17-e,i14?U D '/I� Qate Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Ai--: SF/AC Width: Depth: <br /> Survey Submitted: ■i ❑ No Date of Survey: <br /> Proposed Setbacks: <br /> 10/1/144) aar••( treet) (0 S E W ) ( N( S� E W ) Other Buildings Wetland <br /> Side ide <br /> 12s5` —' (.0C/' t 0 i=0 ` (91,(--✓ , <br /> Building Defined Height: Z- Building Peak Height: #of Stories Ok.. ES <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: SF <br /> Shoreland District MCWD Permit Received Average Lakeshore -- back Bluff <br /> ❑ Yes ❑ No ❑ N/A Cl Yes ❑ No <br /> ❑ Yes No ❑ Yes ❑ No � /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' II�� "" n nr <br /> REMARKS (in-house): I)-CVt ( v�,�rgel �v 1) PA, -7 427/ 1/ <br /> Updated: 09/11/2009 <br /> z:lforms\plan review checklist.docx <br />