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1 Plan Review Checklist for IVew Structures / Additions <br /> Address/ PID / Legal: l�'I2S �AY21�.7iGi� (Lty�Q <br /> Description of work: Q,ErvWV� QE�Qi,�,iE, ( ,(�/}.LL5 <br /> Septic review by: N 1 A Date Approved: <br /> Zoning review by: A Date Approved: <br /> Building review by: „ Date Approved: 0� /L - �i� <br /> Grading review by: /��/�- Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> i <br /> Zoning: Lot Area: SF /AC Width: D th: <br /> Survey Sub �tted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setba s: <br /> Front (Lake) Rear (Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � <br /> Building Defined Height: Buifding Peak H � ht: <br /> FOR A BUILDING WITH A BASEMENT O RAWL SPACE: F A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between e basement floor/ START the distance between the slab and the <br /> WfTH crawl space floor and th ighest roof peak, WfTH highest roof peak, the top of the comice i <br /> the top of the cornice of a t roof, the dec of a flat roof, the deck line of a mansard � <br /> line of a mansard roof, or the ermos � <br /> P roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e ro other arch-t e roof <br /> SUBTRACT half the distance between the hig t SUBTRACT half the distance between the highest <br /> window and highest roof peak o p t hed � window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the sement floor ADD the distance between the slab and the <br /> crawl space floor and th ighest existing highest existing grade within the <br /> grade within the foun tion or 10 feet, foundation i <br /> whichever is less. EQUALS j Defined buildin hei ht <br /> EQUALS � Defined buildin ei ht <br /> Lot Coverage: SF % <br /> Shoreland Distric MCWD Permit Received Average L eshore Setback I Bfuff <br /> 0 Yes No � Yes ❑ No ❑ N/A p Yes ❑ ❑ N/A i ❑ Yes ❑ No <br /> Permit Number: Setback: <br /> Hardcove ones Existin Proposed Variance Require CUP Required <br /> 0- 5' 0 Yes ❑ No ' ❑ Yes ❑ No <br /> 7 -250' Type�S�: <br /> 50-500' ype(s): , <br /> I <br /> 500-1000' � <br /> REM RKS (in-house):_ N J C��'�1r`�-^v� <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />