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PL�►N R�VIEIlV CNECF(LIST FQR 111�W STRtJCTURES / /�DDITION� <br /> � 2�l� - 0 <br /> Address: � �� ��uC� ��'�� Permit No.: <br /> Description of work: � Date Rec'd: �"��, �� <br /> � <br /> Septic review by: � �ate Approved: � <br /> Zoning review by: Date Approve�: / - �7_ � �� <br /> Building review by: Date Approved: (- Z� - Z� i 5 <br /> Grading review by: �� Date Approved: <br /> � Zoning District: L+ —0� Zoning File#: � "' � Reso#: Reso Date: t2-`a•?sol� <br /> ' r <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: ������ SF � ���+ % <br /> Survey Submitted: Q Yes �o Date of Survey: Revised date(?): <br /> Proposed Setbacks: <br /> F t(Lake) R (Street) ( N S E W ) ( N S E W ) p�he�Buildings Wetland <br /> Side �p Side Q <br /> � <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Stories <br /> FOR A BUILDING WITH 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 W ITH floor(of the basement or crawl space)and STAf2T W ITH slab and the highest point of the <br /> the highest point of the roof. roof. <br /> ` If you have a... If you have a... <br /> � o GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED ROOF(no <br /> (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the <br /> between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding <br /> SUBTRACTION gable or hipped roof the low point of the <br /> corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> s° point of the roof <br /> mansard,e4c):No subtraction. . ALL OTHER ROOF TYPES <br /> �` SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 1�feet(whichever is less). (BASED ON of slab and the highest existing <br /> Y 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 g0uff <br /> Met? <br /> ' �Yes ❑ No Permit Number: Yes 0 No � N/A � Yes o <br /> N/A—see attached l�0�c��,,�e:-a Setback: <br /> �� Stormwater Quality Existing Hardcover Proposed <br /> � Overlay District a Hardcover Variance Required CUP Required <br /> Tier circle one (/o and sfl %and s <br /> . �,�.��� Yes Q No � Yes No <br /> � 1 2 3 4 5 <br /> , �� S� TYPe s): TYpe(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � � � _� .�, � � <br /> � �n ..�.:, , � :; . <. �- .�_- �_ . <br />