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i <br /> _ _ �., __._ ,_ T <br /> �' �lan �e�iew �l�eckiest �or [Vevv St�uc�ure� / Ad�itio�� <br /> ..� _ _. �. , <br /> �� � � <br /> l <br /> �� .. <br /> Address/ PID/ Legal: _ �'` ' � , ` ' ����' �° `�% � � - <br /> Description of work: ���✓`��� ��� <br /> _ � <br /> ' �` �� �� <br /> Septic review by: t��; y!k � � Date Appeoved: • ���� -��' <br /> Zoning review by: Date Approveel: <br /> Building review by: ��,�� ���-���- Date Approved: � ' �' - � t �_ <br /> Grading review by: Date Approved: <br /> Zoning File#: ���� � Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> r ;� <br /> �. �,.�� <br /> � Zoning: Lot Area �a�e��� ��_� � 4 � <br /> �SF�AC Width: , � Depth: <br /> Survey Submitted: �"'Yes 0 No � Date of Survey: � f ��� � ��� �� <br /> Pro osed Setbacks: <br /> Fr�t(Lake) Rear(Street) ( N S E VI! � ( N S���;; W ) Other Buildings 1Rletland <br /> �ide Si21�' <br /> � � r��i . �, <br /> ' � ..; ' d�e�4�4 s��� �� r �� � '��, <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES <br /> FOR A BUILDING VUITH A BASEII�ENT OR CRAWL SPACE: FOR A BUILDING QN A SLAB FOUNDRTION: <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 fiop 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 /> mansarci 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 disfance 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 /> Lot Coverage: `'pf.�� SF � �` o <br /> � h� � /o <br /> Shorelanci District NlCIIiID Permit Received pvera e L�keshore Setback Bluff <br /> � G�'�es 0 No ❑ N/A � � 0 Yes ���No <br /> ,,� Yes � No '`�� � Yes � No � N/A � `�� <br /> ' Permit Number: r: �' `' � � � � � `` Setback: <br /> � ���' �`e�► � ��"�" ��� <br /> �� �� <br /> Hardcover�ones Existin Fr��osec� ���iance Required Cl1R 12ec�uired <br /> � 0-75' � , � f ;,Yes ❑ No � Yes � No <br /> 75-250' .���•_��� ; r:� � ' '� TYP�(S� ��� Type(s): <br /> 250-500' • n <br /> 500-1000' �� `���� � <br /> REMARKS (in-house): <br /> ;`- <br /> Updated: 09/11/2009 <br /> �, z:\forms\plan review checklist.docx <br /> � <br /> �� <br /> , <br /> i <br />