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� Plan Review Ch�cki�st for New Structures / Additions <br /> Address/PID/LegaL �Io3�j M,�. pF4�l.7S �p�� T �?,p,A„/, <br /> Description of work: ��n�L L <br /> Sepfic ceview'by: �1� F� ,. Date APProved:_ + � <br /> ,.�, , <br /> .Zoning<review:bY� `�-���'' e Date Appro�ed._ `�� t' � ��J `;' <br /> Building review by: Date Appro�ed: �'-J-i�1- ?_tt�1/ <br /> Grading review by: �`//� Date Approved: <br /> Zoning Fiie#: Resolution#: Resolution Date: <br /> Zoning District Fire Department I Post Office � Scho:ol district <br /> � <br /> Zoning: Lot Area: SF 7 AG Width: Depth; <br /> Suroey Slibmitte�: ❑ Yes � No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear�Street) ( N S E W ) ( 'N S 'E W ) pther Buildings Wetland <br /> , $ide ,� Side- <br /> ,�. '"�-'f °b f`"li��' \ ti- , ; <br /> � : <br /> Building Defined:Height:. Building Peak Neight: #of Stories Ok?: � YFS <br /> FOR-A BUILDING aIVITH i4 BASEMENTOR:CRAWL SPACE: FOR A'BU,ILDING ON-A SLAB FOUNDATION: <br /> START UUITH the distancs betweenthe basement'floor/crawl START the distance between the sfab and ihe highest <br /> space fioor and the highest roof peak,the top of 1NITH roof peak,the top of the comice of a flat roof, <br /> the comice of a flat roof,.the deck fine of a the deck line of a mansard roofi, or:the <br /> mansard roof, or the uppermo5t:point on a round uppermost point on a round or other arch type <br /> or other arch-t 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 eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT the distance between the basement ffoor/crawl i ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within i existin rade within�the'#oundation <br /> I the foundation or 10#eet, whichever is less. j EQUALS ; Defined builtlin heiqht <br /> EQUALS I Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland'District MCWD Permit Received Average L:akeshore Setback I Bfuff <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes ❑ No ❑ Yes 0 No D N/A <br /> permit Number: Setback: <br /> Hardcover Zones Existin, Proposed Variance Required � GUP Required <br /> D-75' � '❑ Yes ❑ No ❑ Yes D No � <br /> 75=250' TYP���)� TYPe�s): <br /> 25D-500' <br /> ! 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:lformslplan review checklist.docx <br />