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, <br /> Plan Review Checklist for New Structures / Additions <br /> ' Address/ PID / Legaf: �� lo L Y�( . ('���,v�j '�(,,u�k� <br /> Description of work: SI-}L, <br /> Septic review by: �v Date Approved: <br /> Zoning review by: � — Date Approved: � � 2 Z -/�-' <br /> Building review by: b ��L./�LY__._ Date Approved: � - � z - �L� <br /> Grading review by: NI,A Date Approved: n��/,� <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire De artment Post Office � School District <br /> I <br /> Zoning: Lot Area: SF /AC Width: Depth: <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front (Lake) Rear(Street) � � S E W ) ( N �S�) E W ) Other Buildings � Wetland <br /> Side Side <br /> '�� "3� 3� i 11 S /�'1 <br /> Building Defined Height: �, (� Buifding Peak Height: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the basement floor/ START the distance between the slab and the <br /> WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, the deck of a ffat roof, the deck line of a mansard <br /> line of a mansard roof, or the uppermost roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e roof other arch-t e roof <br /> SUBTRACT hatf the distance between the highest SUBTRACT half the distance between the highest <br /> window and highest roof peak of a pitched window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the <br /> crawl space floor and the highest existing highest existing grade within the <br /> grade within the founclation or 10 feet, , foundation <br /> whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: d. 1c. SF % <br /> Shoreland District � MCWD Permit Received Average Lakeshore Setback Bluff <br /> ❑ Yes �!(�No � Yes 0 No ❑ N/A p Yes ❑ No ❑ N/A � Yes ❑ No <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75-250' Type(s): � TYPe�S); I <br /> 250-500' � � <br /> 500-1000' � ' <br /> REMARKS (in-house): <br /> Updated: 07/01/20Q9 <br /> z:\forms\plan review checklist.docx <br />