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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: 4 0?o �--.) + -t..x.t u I Liv 42rZ <br /> Description of work: (,.;e---s'f?3AliL .,..,J t'i 'v e L _;_A-f , ►.i Lc,us t ( _L., ‘i-P L <br /> Septic review by: NI t/i Date Approved: <br /> Zoning review by: N ) Vl, Date Approved: <br /> Building review by: Date Approved: 3-2-2 \o <br /> Grading review by: A) I IA Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Sub . ed: ❑ Yes 0 No Date of Survey: <br /> Proposed Setbac : <br /> Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Othe :uildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: # of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CR• • L SPACE: FOR • :UILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the bas-• ent floor/crawl S'ART the distance between the slab and the highest <br /> space floor and the highest roof•-ak,the top of /WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the deck li of a the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost point .• 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 windo -i d 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/drawl 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 MCWO Permit Received Average Lakeshore Setback Bluff <br /> 0 Yes 0 No 0 N/A „ ❑ Yes 0 No <br /> 0 Yes 0 No 0 Yes 0 N ', 0 N/A — <br /> Permit Number: • Setback: <br /> Hardcover Zones , Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75-250' Type(s): Type(s): <br /> 250-540' <br /> 500,1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />