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Plan Review Checklist for New Structures / Additions <br /> ,Address/ PID/ Legal: Z-0.--/S W C�( &-12 %-k-1 L,L S <br /> Description of work: '- A-r k'Lk.,it"- Z_, <br /> Septic review by: N I$ Date Approved: <br /> Zoning review by: A)! h Date Approved: <br /> Building review by: (Qiy,,,.#,,� Date Approved: h -y -/0 <br /> Grading review by: ` l 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 SubmittedN ❑ Yes ❑ No Date of Survey: <br /> � <br /> Proposed Setbacks: `N\ <br /> Front(Lake) ReaNStreet) ( N S E W ) ( N S E ) Other Buildings Wetland <br /> \ Side Sid <br /> \\ <br /> Building Defined Height: \ Building Pe- Height: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL S�t�' E: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the baserfent floor/ / START the distance between the slab and the <br /> WITH crawl space floor and the highest r..f pear WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, th- deck of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the uppermo,: roof, or the uppermost point on a round or <br /> point on a round or other arch-type r of other arch-type roof <br /> SUBTRACT half the distance between the high st SUBTRACT half the distance between the highest <br /> window and highest roof peak of/a pitched window and highest roof peak of a <br /> roof / pitched roof <br /> SUBTRACT the distance between the b$ement floor/ At, the distance between the slab and the <br /> crawl space floor and the hfighest existing highest existing grade within the <br /> grade within the found on or 10 feet, foundation <br /> whichever is less. EQUALS Defined building height <br /> EQUALS Defined building h .ght <br /> Lot Coverage: SF <br /> Shoreland District MCWD Permit Received Average Lakeshore Se -•ack Bluff <br /> ❑ Yes ❑ <br /> CI Yes ❑ No 0 N/A — ❑ Yes 0 No 0 N/- 0 Yes ❑ No <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Required UP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 7,5250' Type(s): Type(s): <br /> 7150-500' <br /> 4500-1000' <br /> REMARKS (in-house): t'Ut! C t.+A^, ,Q <br /> `,J' <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />