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• <br /> Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: / / 30 ( j C 10 L 7(, S <br /> Description of work: <br /> Septic review by: !V A Date Approved: Cr-- I 0 <br /> Zoning review by: U 4- M - Date Approved: C7 - / S."/ 0 <br /> Building review by: Date Approved: 9 -i3- J O <br /> Grading review by: /\-1 (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: 0 Yes 0 No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake) Rear(&tfeet) ( N S ( W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> /U6 ' + () o 91 7/ N/4 IV /if <br /> Building Defined Height: /if/A Building Peak Height: # of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH A BA - ENT OR CRAWL SPACE: FOR A B ILDING ON A SLAB -O NDATION: <br /> START WITH the distan e between the basement floor/crawl STA the distan.- be een the slab and the highest <br /> space fl..r.nd the highest roof peak,the top . WIT roof pea the t•• of the cornice of a flat roof, <br /> the cor'ice .f a flat roof,the deck line of a the dec line of. mansard roof, or the <br /> mans.rd roo , or the uppermost point on a ro,nd upper r ost point V n a round or other arch-type <br /> or of er arch type roof roof <br /> SUBTRACT half he dista ce between the highest wind. and UBTRACT half e distance b tween the highest window <br /> hi• est roof•-ak of a pitched roof an. highest roof perk of a pitched roof <br /> SUBTRACT t - distance •etween the basement floor/ rawl ADD t - distance betwee the slab and the highest <br /> -•ace floor a • the highest existing grad: within : isting grade within he foundation <br /> he foundation or 10 feet, whichever is I;_s. EQUALS Defined building heig t <br /> EQUALS Defined buildi g height <br /> Lot Coverage <br /> Shor and District MCWD Permi- Received Average akeshore Setback Bluff <br /> ❑ Yes 0 o ❑ /A 0 -s ❑ No <br /> ❑ Y s ❑ No ❑ Ye ❑ No ❑ N/A <br /> Permit Numb- : Setbac <br /> I <br /> H rdcover Zones Existing Prop ed Variance Required CUP R quired <br /> 0-75' 1:1 Yes 0 No 0 Yes 0 No <br /> 75 250' ype(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />