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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: 2-K1'5 V V U2.( 0 11 Pe- <br /> Description <br /> Description of work: I) <br /> Septic review by: 'WA Date Approved: <br /> Zoning review by: • k/ C4 Date Approved: 7 1 J' .I I <br /> i Ai <br /> Building review by: VA._ Date Approved: 7 ` ZS - I <br /> Grading review by: A /V//4 Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: I _s/ SF lig Width: 2.2, ' Depth: <br /> Survey Submitted: 0 Yes 0 No Date of Survey: uv-IUW Y" <br /> Proposed Setbacks: bra\/,)V\ Dr1 - NTS <br /> Front(Lake) Rear(Street) ( N SOW ) ( N S E ( W ) Other Buildings Wetland <br /> Si• - Side <br /> 2-33( f N15 ' ' h NT 113` 1\11_5 <br /> Building Defined Height: NA- Building Peak Height: #of Stories Ok?: 0 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: SF <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> 0 Yes �'"" 0 N/A 0 Yes ----a-No <br /> 0 Yes C�IVo - 0 Yes 0D No 0 N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 Yes <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 />