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•.,..r <br /> • Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: Cizc wtu..ow '( te \A) ez <br /> Description of work: E P,SCEML NT l Sal\ SH <br /> Septic review by: 11A Date Approved: <br /> Zoning review by: N I IA Date Approved: <br /> Building review by: (QAA,IruI.—_ Date Approved: 1 k - ‘-{ - t 0 <br /> Grading review by: N I Ar Date Approved: <br /> Z. ing File#: Resolution #: Resolution Date--' <br /> oning District Fire Department Post Office School District <br /> Zoning: of Area: SF/AC Width: Depth: <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) Rear(S -et) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side ide <br /> Building Defined Height: Buildi • Peak Height: <br /> i <br /> / <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the basement floe START the distance between the slab and the <br /> WITH crawl space floor and the highest roo peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, e deck 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 /> •oint on a round or other arch, .e roof other arch-type roof <br /> SUBTRACT half the distance between t highest S :TRACT half the distance between the highest <br /> window and highest roof peak of a pitched window and highest roof peak of a <br /> roof / pitched roof <br /> SUBTRACT the distance between e basement floor/ ADD the distance between the slab and the <br /> crawl space floor a.. the highest existing ..hest existing grade within the <br /> grade within thelozundation or 10 feet, fo 'dation <br /> whichever is lets. EQUALS Defin-• building height <br /> EQUALS Defined builWng height <br /> Lot Coverage: SF ok <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> 0 Yes /❑ No 0 Yes 0 No 0 N/A _ ❑ Yes 0 No 0 N/A 0 es 0 No _ <br /> / <br /> Permit Number: Se •ack: <br /> // <br /> Hardco 'er Zones Existing Proposed Variance Required j CUP Re. ired <br /> 0-75' 0 Yes 0 No 0 Yes ❑ O <br /> 75-250' .. Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): N0 G(-IAN (,L <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />