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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: J� � � �/�" �� �(�� <br /> Description of work: �eC�� I'�ru,'� — ;L�Ur� �1 ,�,�{'�q � <br /> Septic review by: I`� Date Approved: �'�(��C°1 <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: �'" ���'�� <br /> Grading review by: � U Date Approved: �Z � <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <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) I ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> � Side Side <br /> i <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement 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 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 /> 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 floor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet, whichever is less. EQUALS I Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback � Bluff <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes ❑ No , ❑ Yes ❑ No ❑ N/A <br /> � Permit Number: Setback: <br /> Hardcover Zones Existin I Proposed Variance Required I CUP Required <br /> 0-75' ❑ Yes ❑ No I ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> I 500-1000' <br /> REMARKS (in-house): ��N vl L� � �,l� <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />