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� PLA[� REVIEW �HECKLIST FOR <br /> NEW STRUCTURES / ADDITIONS <br /> Address: ���� �.�lJ l�J ��.I� Permit No.:_ G-��� '�q�jZ <br /> Description of work: �� � Date Rec'd: � ' Z� ' �� <br /> Septic review by: ���(! Date Approved: '�' <br /> �oning review by: Date Approved: ��� ' j <br /> Building review by: Date Approved: � �P l <br /> Grading review by: — Date Approved: <br /> � Zoning District: �-�r 0�- Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> urvey Submitted: �es ❑ No Date of Survey: l�'•�'�4" Revised date(?): <br /> Proposed Setbacks: <br /> Front (Lake) Rear(Street) ( � S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> r <br /> Defined Height: Peak Height: FFE; FFE minus 6 feet= (Existing Contour; <br /> Perimeter(linear feet) = 50% = L.F. belovv grade #of Stories <br /> FOR A BUILDING VHITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> �� The distance between the lowest proposed The distance between the top of <br /> START WITH f�oor(of the basement or crawl space)and START WITH si�ti^-'"�e highest point of the <br /> the highest point of the roof. <br /> If you have a... a... <br /> • GABLE OR HIPPED ROOF(no ���� ��I� -E OR H D ROOF <br /> -1 indo�+s`�.�Subtract half <br /> windows): Subtr alf the distance ���'/ � nce between the <br /> between the ' est point of the roof t�point of the roof to <br /> to the low"point of the corresponding � <br /> SUBTRACTION gable or hipped roof '' point of the <br /> onding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with C ^^ m(�. oof <br /> ROOF TYPE) windows): Subtract half the distance �I�u� � OR HIPPED ROOF <br /> between the top of the highest � dows): Subtract <br /> window and the highest point of the istance between <br /> roof ���fff �/� the highest <br /> • ALL OTHER ROOF TYPES(flat, —1 1/1(��1 ,��� nd the highest <br /> �l91 ��� he roof <br /> ' mansard,etc):No subtraction. 1 r �R ROOF TYPES <br /> ;SUBTRACTION Subtract the distance between the _..kard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTWG highest existing grade adjacent to the ADDITION Add the distance between the top <br /> ��'� GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: O Yes 0 No �N/A 0 Yes �lo <br /> Yes 0 No <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover Proposeri <br /> Overlay District o Hardcover Variance Required CUP Requ6red <br /> Tier circle one (�o and s� % and s <br /> � Yes No Q Yes No <br /> 1 Q 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx Lt��� j� �G07a � ��'�� <br /> +v �-l(7 <br /> . <br /> 4 . <br />