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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/Legal: IC 3 a Wn, LLOW\I C%�( Qa_ , <br /> Description of work: rw I5(4 d <br /> Septic review by: Nit lk Date Approved: <br /> Zoning reviewby: tvi Date Approved: <br /> Building review by: Jiz c64-__. Date Approved: 1 - 9— ZO (e- <br /> Grading review by: OM- Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> . Zoning District Fire Department Post Office Scho. 'istrict <br /> . <br /> \ <br /> Zoning: Lot Area: SF/AC Width: repth: <br /> Survey Submitted: ❑Yes D No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake) jti,` Rear(Street) ( N S E 'W ) ( N S E W Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: ♦.`,. Building Peak Heig #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT O12\cRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the`masement floor/crawl START the distance between the slab and the highest <br /> space floor and the highestof peak,the top o WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the de line of a the deck line of a mansard roof,or the <br /> mansard roof, or the uppermost plspt on a ound uppermost point on a round or other arch-type <br /> or other arch-type roof roof <br /> SUBTRACT half the distance between the highest '',clow 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 basem: t floor/crawl ADD the distance between theslab and the highest <br /> space floor and the highest ex': ing grade withi'n\,, existing grade within the foundation <br /> the foundation or 10 feet,w ' hever is less. EQUALS Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF <br /> Shoreland District M.CWD Permit Received Averag:.Lakeshore Setback Bluff <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes ❑ No CI Yes • o CI N/A <br /> Permit Number: Setback: <br /> Hardcover Zpt esExisting Proposed Variance Require. CUP Required <br /> 0.75;, ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75`250' Type(s): pe(s): <br /> A50-500' <br /> r, 500-1000' <br /> REMARKS (in-house): /1/e CH-.t,..l <br /> Updated: 09/11/2009 <br /> . z:\forms\plan review checklist.docx <br />