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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: IZ1L1 UILO1-k`3AST -1" NAtL <br /> Description of work: 3 ..5-413,\50,--4 -( Ste_ ,J C L ` ' a'/J <br /> a/La—I <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: V` ® (a,,,..,,,__ Date Approved: Z -t( - 10 <br /> Grading review by: Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School D'_ rict <br /> Zoning: Lot Area: SF/AC Width: ' -lath: <br /> Survey Submitte•. ❑ Yes 0 No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake) Rear ,treet) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC-' "OR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floo crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak,the e•. 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 ro. s 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 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 baseme floor/crawl A►II the distance between the slab and the highest <br /> space floor and the highest exis' g grade within existing grade within the foundation <br /> the foundation or 10 feet, whi ever is less. EQUAL, Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF o/o <br /> Shoreland District CWD Permit Received Average Lakeshor- Setback Bluff 1 <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 Yes 0 No 0 Yes 0 No 0 /A - <br /> Permit Number: Setback: <br /> Hardcover Zo 's Existing Proposed Variance Required UP Required <br /> 0-75' 0 Yes 0 No _ 0 -, 0 No <br /> 75- ;0' Type(s): Type(s): <br /> 2.•-500' <br /> 500-1000' <br /> RE' ARKS (in-house): ?'Ua cm--ANG e <br /> L <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />