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Plan Review Checklist for New Structures / Additions <br /> • <br /> Address/ PID/ Legal: 22--) 5 W E aee-g- N"I Lk- 5 <br /> Description of work: S C 0.-4c—E-r // <br /> t AA.C.-44- O of C-,c\5'3")i:5 el2.CK <br /> Septic review by: M IA Date Approved: <br /> Zoning review by: N/A Date Approved: <br /> Building review by: QQ__ ti -- Date Approved: <br /> Grading review by: NI A Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School •" rict <br /> Zoning: Lot Area: SF/AC Width: .- •th: <br /> Survey Submi -d: 0 Yes D No Date of Survey: <br /> Proposed Setback . <br /> Front (Lake) - -ar(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: D YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAW PACE: 'OR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basem_ t floor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof pe. 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 . a the deck line of a mansard roof,or the <br /> mansard roof, or the uppermost point on . ro. d uppermost point on a round or other arch-type <br /> or other arch-type roof roof <br /> SUBTRACT half the distance between the highest w''dow - d 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 basemen oor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest exist' g grade within existing grade within the foundation <br /> the foundation or 10 feet,whic•ever is less. .QUALS Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF ok <br /> Shoreland District CWD Permit Received Average La :shore Setback Bluff <br /> D Yes 0 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 /> Hardcover Zo•es Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75 50' Type(s): Type : <br /> 50-500' <br /> 500-1000' <br /> • <br /> REMARKS (in-house): /4O CHA11;7- <br /> Updated: <br /> 1L;7-Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> 1 <br />