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Plan Review Checklist for New Structures / Addition� <br /> Address/ PID/ Legal: � ��� �� � S j � Q �� <br /> Description ofwork: ��i{/1J���j � 5��'2.f-1����/f�jj/f� ��C(�,�� <br /> Septic review by: !V J� Date Approved: ��� �r�� <br /> Zoning review by: -� Dafe Approved: -'L��`'� ��%l(; <br /> Building review by: Date Approved: �+ -Z-t -� � <br /> Grading review by: _��f` Date Approved: ��! ' � ��v <br /> Zoning File#: �"6 - �4� Resolution#: �� � Resolution Date: � �`Z?j —D CJ <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: SF AC Width: Depth: <br /> Survey Submitted: 0(�t"Y�s ❑ No Date of Survey: �'' �� � <br /> ��J <br /> Pro osed Setbacks: <br /> ������ � ar Street) ( S E W ) ( �.{d.y�p"�Y�' . <br /> Side ��. <br /> ) Other Buildings Wetlanci <br /> l� � ��� �zJ � � f�g'. g <br /> i <br /> Building Defined Height: �i� Building Peak Height: �� # of Stories Ok.� Y S <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: �j 4O FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement flooN 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 i <br /> or other arch-t e roof roof <br /> SUB ACT half the distance between the highest window and SUBTRACT half the distance between the highest window � <br /> �'�S I hi hest roof eak 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 /> I„ space floor and the highest existing grade within existin rade within the foundation i <br /> �y the foundation or 10 feet, whichever is less. �`� � EQUALS i Defined buildin hei ht <br /> EQUALS Defined buildin hei ht � <br /> Lot Cov�rage:�� � SF �. o�o <br /> Shoreland District MCWD Permit eceived Average Lakeshore Setback � Blu <br /> ' ❑ Yes ❑ No ❑ N/A � ❑ Yes No <br /> Yes ❑ No ❑ Yes ❑ No /A <br /> Permit Number: Setback: <br /> Hardcover Zones 'i Existin � Proposed V -ance Re uired � UP Required <br /> 0-75' � � ' rn "', Yes ❑ No Yes ❑ No <br /> �p•Z�}'�� <br /> 75-250' i TYPe(S)� l.�'I-CL{-�Gi Type�S):' � � <br /> 250-�00� 3�;.3� �-�,-�vhan.dCer� Gn,�:t� �rv� �, <br /> s��s � <br /> 500-1000' ; I <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />