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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: oe i�0 h' •-'E-e o (� t' a r'C C e_ <br /> Description of work: a 4('t, k‘k VAS -10 �c,/ S� <br /> Septic review by: k) t Date Approved: / 1 - 6 'O / <br /> Zoning review by: Date Approved: 4 A ( (o'j <br /> Building review by: �� Date Approved: ( I- x°i - 01 <br /> Grading review by: Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zoning District I Fire Department Post Office School District <br /> It <br /> 2 �j J <br /> Zoning: Lot Area: } �S -+ `AC Width: 3(0 L Depth: Zc J <br /> Survey Submitted: es ❑ No Date of Survey: jq Q q (A-5 pc.' ( I-- rov !i u•T <br /> Proposed Setbacks: <br /> Front (peke) - Rear )_- ( 0 S E W ) ( N 0 E W ) Other Buildings Wetland <br /> Side Side <br /> no C hA Q C9,C- h 0 Ct<v'Lcvz. t ct ' :L 1 _SS / h a‘.J <br /> Building Defined Height: Building Peak Height: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the basement floor/ START the distance between the slab and the <br /> WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, the deck 1 of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the uppermost roof, or the uppermost point on a round or <br /> point on a round or other arch-type roof i other arch-t se roof <br /> SUBTRACT half the distance between the highest 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 •itched roof <br /> I SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the <br /> I crawl space floor and the highest existing highest existing grade within the <br /> grade within the foundation or 10 feet, foundation <br /> whichever is less. j EQUALS Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: <br /> Shoreland Distric MCWD Permit Received ; Avera•e Lakeshore Setback Bluff <br /> 1 ❑ Yest No I ❑ Yes ❑ No ❑ N/A 1 0 Yes 0 No 0 N/A In Yes ❑ No 1 <br /> Permit Number: 0• - •vg Setback: <br /> • Hardcover Zones Ex� :• nl� d Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75-250' Type(s): Type(s): <br /> I 250-500' <br /> 500-1000' I <br /> REMARKS !�c'J(in-house): J2. cL 2.1(o 5 airs cc-tik r'f — A4 au 0 pi,rfwicf (s �_uJ <br /> pex VS cC byt CL,Lit r s 2 <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />