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Plan Review Checklist for.: lew Structures / Additions <br /> Address/PID/Legal: t / C� �/�eGJ , . <br /> Description of work: Q f1S . t n./t S r " <br /> Septic review by: / V Date tApproved. - 1 1- t t <br /> Zoning reviewby: /'t)i'/1 DateApproved: <br /> Building:review by.: ©�` Mate.Approved:- .g /.S' <br /> Grading,review:by. Date Approved: <br /> oning-File#: Resolution#: Resolution.Dat <br /> ,Zoning District Fire Department. °fPost=Office School:District <br /> .Zoning: Lot Area: SF/AC -Width: Depth: <br /> Survey Submitte• `❑ Yes '❑ No Date of Survey: <br /> ProposedSetbacks: <br /> FrontlLake) Re. Street) ( 'N . .S' E W;) .( .'N S E W .) Other Buildings Wetland <br /> Side ..ide <br /> -Building Defined"Height: Building Peak', eight #of Stories Ok?: .,❑ YES <br /> FORA BUILDINGWITHA:BASEMENTORCRAWL'SPA, : FAR ABUIL'DING ON-A SLAB:FOUNDATION: <br /> START WITH the distance between-the basementflo /cra I START the distance`.between the:slab,and the highest <br /> space floor and the tiighestroof.peak,-;the. •• of WITH roof peak,the top ofthe cornice of-a'flat--roof, <br /> the cornice:ofa'flat,roof,.the:deck:linesof.- the'deck line of a.mansard roof,or-the <br /> 'mansard roof, or the uppermost point:o r.a noun• uppermost point on a,round>or other.arch-type <br /> -or.other arch type roof roof <br /> SUBTRACT half the distance between.the high -t.window and SUBTRACT half the.distance between thebighest window <br /> highest roof:peak of.aapitched.ro: and highest roof peak of a=pitched•roof <br /> SUBTRACT the distance':between.the.base-;ent.floor/.crawl Ar•D the.distance between the slab and the:highest <br /> space'floor and the highest z,isting grade within .:existing grade within the foundation <br /> the foundation or 10 feet, , .icheveris`less. EQUAL, Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF % <br /> Shoreland:District <IMGWDPermit',Received Average'Lakeshore setback Bluff <br /> ❑ Yes ❑ No .❑ N/A .❑ 'es ❑ No <br /> ❑ 'Yes' ❑ .N, ❑ Yes O No ❑ ' — <br /> Permit Number: Setback: <br /> Hardcover:- ones Existing Proposed 'Variance Required P Required <br /> 0 5' ❑ `Yes ❑ No ❑ Ye- ❑ No <br /> 5-250' TYPe(s): Type(s): <br /> 250-50..0' <br /> 500-1000' <br /> REMARKS (in-house): Ito List--q <br /> Updated:'.09/11/2009 <br /> z:\forms\plan review checklist.docx <br />