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Plan Review Checklist V I[/ for New Structures / Additions <br /> Address/ PID/ Legal: 2j?.() W� Gl gaged O <br /> Description of work: P Z( rk <br /> Septic review by: i ri �) Date Approved: F — 1 r t 1 <br /> Zoning review by: Date Approved: el I ( <br /> Building review by: ( Date Approved: 3'- (c)— t 1 <br /> Grading review- by: Date Approved: <br /> Zoning File#: Yom" Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area:5 f SF/AC Width: , Depth: <br /> 2 12 <br /> Survey Submitted: Yes ❑ No Date of Survey: (( <br /> Proposed Setbacks: <br /> Front(Lake) dip,treet) ( N9S E W ) ( N S E W ) Other Buildings Wetland <br /> ( Side Side i <br /> 4— +l id' klA,C e, <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ 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: NA- SF % <br /> Shoreland Distr." t MCWD Permit Re -i_-'• Average Lakeshore Setb k Bluffcv <br /> !s3 <br /> ❑ Yes ❑ No , • 0 Yes <br /> ❑ Yes No 0 Yes 0 No /A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance R uir d CUP Requ' ed <br /> 0-75' 0 Yes No 0 Yeslo <br /> 75-250' f" Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />