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Plan Review Checklist for New Structures / Additions <br /> , <br /> • Address/ PID/ Legal: '/O Nts <br /> CAI A/c CA <br /> Description of work: yA4ip t11 ocv 0 t= ae_o(God L'- T ' '- L l"57N5f 9CX <br /> Septic review by: YDate Approved: 3 ' I (' JO <br /> Zoning review by: N/* Date Approved: <br /> Building review by: C� o ff _ Date Approved: i////0Grading review by: /A 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 ❑ No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake) Rear( r ) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> N Side Side <br /> N,, <br /> Building Defined Height: N, 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 floorrawl 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 CWD Permit Received Average Lakeshore Setback Bluff <br /> Yes ❑ No 0 N/A 0 Yes 0 No <br /> 0 Yes 0 No 0 Yes 0 No 0 N/A — <br /> / Permit Number: Setback: <br /> / <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75-250' Type(s): Type(s): <br /> 250-50 <br /> 500-1 00' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />