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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: v ;c (}_, i, 1 t D w ., e l,--) <br /> AGK - ,, 1'o, c \-{ <br /> Description of work: <br /> Septic review by: (�� ���� N 9- <br /> /4 Date Approved: / f- gel ✓ <br /> Zoning review by: C'�11�(J), 0 W W Date Approved: 2 - I • J 3 <br /> Building review by: Date Approved: <br /> Grading review by: N Pr - 1\t 1Qhd (1110010A Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: f qt 141 WO SF/AC Width: 2n Depth: <br /> Survey Submitted: Yes ❑ No Date of Survey: ( '2 ' (3 <br /> Proposed Setbacks: <br /> Front (L,k)) Rear(S et) ( N S W ) ( N S E l.J ) Other Buildings Wetland <br /> Si e Side l/ <br /> 114_5 tobut-KC <br /> Building Defined Height: — Building Peak Height: -- #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak, 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 of a the deck line of a mansard roof, or the <br /> mansard roof, or the up.- ost point on a round uppermost poin a round or other arch-type <br /> or other arch-type e• roof <br /> SUBTRACT half the dist.• - between the highest window and SUBTRACT a distance between the highest window <br /> highes •of peak of a pitched roof and highest roof peak of a pitched roof <br /> SUBTRACT th= •istance between the basement floor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within existing grade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> ❑ Yes 0 No 0 N/A 0 Yes o <br /> 0 Yes No 0 Yes ❑ NoN/A - <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Requir CUP Required <br /> 0-75' 0 Yes No 0 Yes ,No <br /> 75-250' Type(s): Type(s): <br /> 250-500' N lk <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />