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Plan Review Checklist for Nevrr Structures / Additions <br /> Address/ PID/ Legal: �:� �� � �� /�„'� �;� r ; � <br /> Description of work: <br /> Septic review by: --+�� , Date Approved: C�' -• �`�— l C! <br /> Zoning review by: �� Date Approved: <br /> Building review by: , �..�,;�-- Date Approved: ? '�Z - �U <br /> Grading review by: � /lf ��- Date Approved: <br /> `oning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office ' School District <br /> �� ,-� � <br /> �� <br /> Zoning: Lot Area: SF/AC Width: % / Depth: <br /> ,..\ <br /> Survey Submit��d: ❑ Yes 0 No Date of Survey: <br /> Pro osed Setbacks' <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E ,�11 � Other Buildings Wetland <br /> Side Side '' <br /> . <br /> ,% <br /> i <br /> Building Defined Height: Building Peak Heigfk� # of Stories Ok?: ❑ YES <br /> ,.., ;: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: i� FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the baseme�t 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 cornice of a flat roof, <br /> the cornice of a flat roof,the deck line o`�.� � the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost point on a'r�nd 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 w} dow an SUBTRACT half the distance between the highest window � <br /> hi hest roof eak of a itched roof ' ; and hi hest roof eak �f a itched roof <br /> SUBTRACT the distance between the basemen�.filoor/crawl �� ADD the distance between the slab and the highest i <br /> space floor and the highest existin( grade within existin rade within the foundation <br /> the foundation or 10 feet, which ver is less. EC��.JALS I Defined buildin hei ht <br /> EQUALS Defined buildin hei ht �., <br /> Lot Coverage: � sF � `� o <br /> /o <br /> Shoreland District IIIFCWD Permit Received Avera e Lakesh e Setback Bluff ! <br /> Q Yes ❑ No ❑ N/A � `. ❑ Yes ❑ No <br /> O Yes ❑ No ' ❑ Yes ❑ No N/A <br /> Permit Number: Setback: i <br /> I Hardcover Zones ' Existin Proposed Variance Re uired CUP Required <br /> 0-75' I ❑ Yes ❑ No Yes ❑ No <br /> 75-250': TYpe(s): Type(s): <br /> 250-500' I <br /> 504=1000' `�.. <br /> REMA S (rn-house): i"Vu CN/�rt✓L� t <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />