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,....,,, ... ,,_�. ..- ._ _: ; ,.,» �. ..� .7 _�_ ___ _._ ,� _. _ - - . - u. - ,_ ,� - . <br /> Plan Review Checklist for New Structures / Addi$ions <br /> � Address/ PID / LegaL -� � �� �� �✓ � -� �. � - � c •� �. `� �: <br /> ; <br /> Description of work ����� ���"� P � F��� ��,�� <br /> Se tic review b �� ��� � �- � _?���t.� <br /> p y: < Date Approved: � �:� a� <br /> Zoning review by: Date Approved: �' ZJ� '�� <br /> � � <br /> BuiBding review by: � --;�. Date Approved: �� ` � ' �� 5� <br /> Grading review by: � .Jl�,Qh2 _ J�{�►IAV� Date Approved: .5 '�I 't Z <br /> Zoning File#: '�' Resolution#: Resolution Date: i <br /> Zonin District Fire De artment Post Office School District <br /> E - �;� <br /> �� €:� <br /> Zoning: Lot Area: �� ^l�i,�° � = LG SF/AC Width: �o��f ����-' De th: ��� � <br /> P <br /> Survey Submitted: es 0 No Date of Survey: �� �` <br /> Pro osed Setbacks: <br /> Front ake Rear tree ' ( N S E� W ) ( N S E �` Other Buildings Wetland <br /> Si Side <br /> �.t�� r �� � �� <br /> ; r i �� i <br /> f Building Defined Height: �"c� 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 betv✓een 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 /> 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 /> f ���<.,�..t. . <br /> Lot Coverage: �=�1 ��� ���-� SF � E % <br /> Shoreland District M D Permit Received Avera e Lakeshore Setback �luff _� <br /> Yes � No � N/A 0 Yes No <br /> Yes � No �s � No � N/A <br /> Permit Number: �t�( Setback: <br /> Hardcover Zones Existin Pro oseci Variance f2equire CUP f�equired <br /> 0-75' ,�,��� ��-, "����� Q Yes No � Yes o <br /> 75-250' ����;� ��', � �� TYPe�S). Type(s): <br /> 250-500' � <br /> 500-1000' � <br /> REMARKS (in-house): <br /> Upd ated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />