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<br /> ; Plan Review Checklist for New Structures / Additions
<br /> �
<br /> Address/ PID/ Legal: �' � � �� �'°�' ���
<br /> Description of work: � ���
<br /> Septic review by: Date Approved: 1� P' ����r
<br /> l � „/;/ �)f'� _— `� ; �. � l;
<br /> Zoning review by: � � �;, - �� Date Approved ; �: �, i�E E'i
<br /> Building review by: Date Approved:
<br /> ° f �.i� �� ��>�� ; r ,� �� �:�
<br /> �. Grading review by: R �����l� �� � l Date Approved: � �� i � �� 1� ��
<br /> Zoning File#: �" Resolution#: �' Resolution Date: �
<br /> Zonin District Fire Department Post Office School District
<br /> �` I�-1 C�
<br /> Zoning: Lot Area: �'(D r ��•� SF C Width: ��I 1(p` Depth: I"ta•7�� N s�G�.
<br /> �' C�E
<br /> Survey Submitted: ��es ❑ No Date of Survey: �D � ��� � i �.Z S S�
<br /> Pro osed Setbacks:
<br /> Fron ake �`�" (Street) ( '�1 S E W ' ( N E W ) Other Buildings Wetland
<br /> Side �ide
<br /> a�3' �mQ. �. Z� Z� .� � 22Z. P...�.- r----
<br /> �- i�' �ac� / �� � `�� ,`�,,
<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: V
<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 /> n' 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 /> SUBT T 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 /> �,16TR CT 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 /> � -% - � '� %,
<br /> Lot Coverage: '��°�`� f�� SF � �'��� %
<br /> �`
<br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
<br /> � Yes ❑ No � N/A � Yes No
<br /> �s 0 No Yes ❑ No C7 N/A
<br /> Permit Number � � ��- ���r �i � Setback:
<br /> ;, ;,.
<br /> `,'�. Hardcover Zones Existin� Pro osed Variance Re ui�ed CUP Re u'sred„'
<br /> 0-75' ��jp 0 Yes , '� C� No ❑ Yes Gy`1�t#�
<br /> 75-250' ��� TYPe(S)� �r;�;;_�__,_ TYPe(S)� �_:
<br /> 250-500' Z�,�� ��
<br /> 500-1000'
<br /> ��.;, � � �
<br /> �
<br /> REMARKS (in-house): �� �/._i' V �� � ' �,'", f -� " <'�'� ;� �f��,.�`��� ���;"�`�.�;,�
<br /> �
<br /> � ; ,�:� �� ` �,���',; � ; �� ��;�''"� ,::��'/�'` °:
<br /> Updated: 09/11/2009 �'�
<br /> z:\formslplan review checklist.docx
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