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Plan Review Checklistnf� /orp �N� �)New Structures / Additions <br /> Address/ PID/ Legal: q 5 \'\/ 1 1'00\A) V lw . <br /> Description of work: 5iM-V- C CC,'t{li ( 2"1 1`5- <br /> I <br /> Septic review by: '-e r Date Approved: 5 -("' ( 2-� <br /> Zoning review by: . - Date Approved: ID—oq---17.--- <br /> Building review by: Date Approved: <br /> Grading review by: J'" Date Approved: it/i// A <br /> Zoning File#: Ni PC- Resolution#: NJ Pr Resolution Date: fr.!! <br /> Zoning District _, Fire Department Post Office School District <br /> b ' .--1r \, <br /> Zoning: Lbt Area: SF/AC Width: E 75Depth: 2134 5 i iU <br /> Survey Submitted: ❑ s ❑ No Date of Survey: -5 3 305 I C — <br /> Proposed Setbacks: �01 f Z, <br /> rout Lake) ear~ et) oNSEW ) ( NSEW ) Other Buildings Wetland <br /> Side Ide <br /> S l''i( 1 90 ' 2-0 1 I i .2 I I4-' (iifki ) <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: 0 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 uppermost point on a round uppermost point on a round or other arch-type <br /> or other arch-type roof roof <br /> SUBTRACT half the distance between the highest window 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 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 /> 0 Yes 0 No 0 N/A ❑ Yes <br /> 0 Yes No 0 Yes 0 No A - <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Requir CUP Required/ <br /> 0-75' 0 Yes No 0 Yes /KNO <br /> 75-250' ` - Type(s): Type(s): ✓✓✓ <br /> 250-500' N\ <br /> 500-1000' -/-,�U / �,�jjj 4 <br /> REMARKS (in-house): 1 h = 4�Gy GsI / <br /> ' - tiC�e APF. <br /> l Y rq-Cei,Gt± iAV tt.0i frf�,o-I \:�/=°!f.� ft-e(�%3_�lUpdated: 09/'9'1/ 09 011%/ '0—"L <br /> z:\forms\plan review checklist.docx <br />