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ure,az-,.xa...- —,_�;-�._. < .-.,�-,-.T..�>.:._.-- � _-- r :— ,., . -�,.,.-. .... . '� . .. . -'- , . .. �f �. _ . �_n <br /> � ..,�„.... -��..�w.� � .,.._. „ .,m,._ .� --� .... , .„ _ <br /> _..- _., . . .. .. .. <br /> .,�. .. . ..... . . ..... . . ....:. .. .. ... _ <br /> �. <br /> Plan Review Checklist for IVew Structures / Additions <br /> Address/ PID /LegaL � � � � � � � a <br /> Descriptionofwork: ��°G�� � `Zi�Yl�i� � � G7� <br /> Septic review by: Date Approved: � '� � <br /> Zoning review by: Date Approved: <br /> Building review by: � �t�� ,,.� Date Approved: � — r P7- �i�., <br /> . <br /> Grading review by: Date Approved: <br /> Zoning File#: P��'J��l Resolution #: ��� � Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: Yes ❑ No Date of Survey: ��a��� l� <br /> Pro osed Setbacks: <br /> � Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> "� Side Side <br /> r: <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: � YES <br /> � <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 <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 /> j 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 ' Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> �i <br /> Lot Coverage: SF % <br /> �` Shoreland District IWICWD Permit Received Avera e Lakeshore Setback Bluff <br /> 1 0 Yes C] No � N/A 0 Yes � No <br /> 3' Yes � No �Yes 0 No � N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin F'roposed Variance Required CUP Re uired <br /> 0-75' Yes ❑ No ❑ Yes � No <br /> 75-250' Typ Type(s): <br /> 250-500' / <br /> 500-1000' lI^ 35�� <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> �A?'' z:\forms�plan review checklist.docx <br />