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, ' Plan Review Checklist for New Structures / Additions <br /> Address/PID/Legal: �2��� �'Y� <br /> Description of work: l'���f�'I('/��JQ�1r � �vf(� (�f Q•LtJ S �(�� <br /> Septic review by: �,Q �SC u1P�� Date Approved: <br /> Zoning review by: � Date Approved: � � Z��Q <br /> Building review by: �,,.� Date Approved: 6 - 2-1 �jj <br /> Grading review by: � Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post O�ce School District <br /> 1 � -- <br /> Zoning: Lot Area: ��J�� SF AC Width: �d Depth: �� <br /> Survey Submitted: �'Yes 0 No Date of Survey: ZO�d <br /> Pro osed Setbacks: ��' ��'` <br /> Front(Lake}- Rear(Street) ( � S E W ) ( N � E W ) Other Buildings Wetland <br /> Side Side <br /> f�h�h� � � � �v� 3 S ' t�' �¢��ti�s � ,� � �a <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 beiween 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 comice 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- e roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> hi hest roof ak of a itched roof and hi hest roof eak of a itched 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 existin rade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> r�v.x,� s e �13 QS �rop . <br /> Lot Coverage: �13 • �s f Z.�G•� SF �is4�►�9 -�t42 = �O(p � A��ow2r,� l�s'8 C'� <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � 0 Yes 0 No N/A � � Yes 0 No <br /> �'Yes 0 No O Yes � No �N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance Require CUP Re uired <br /> 0-75' � Yes No 0 Yes No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' �j�� ��� <br /> Allac�ed Z�S(�+ <br /> REMARKS (in-house): <br /> �tt3 .�cs �r �oo.�q -� 7�A � -� �22 > I�IC� <br /> Updated: 09/11/2009 ���`"'�'I �5i�e� <br /> z:\forms�plan review checklist.docx ZOX?j�j �.S�'3� <br />