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� Plan Review Checklist for New Structures / Additions <br /> Address/ PID I Legal: _�� �� �5� ���iti ' <br /> Description of work: ('YwU� � (t�c',C--t.,� a i v� ��^'`� 7' c.�% ����.,.�j <br /> Septic review by: !�� � Date Approved: <br /> Zoning review by: � �%...�- Date Approved: ,� � �J � "�� �- <br /> Building review by: �� Date Approved: r G' / U� � Z <br /> Grading review by: ��/� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department � Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: ❑ Yes 0 No Date of Survey: <br /> Pro osed Setbacks: <br /> Front (L-a�e) Rear-(S#�es�) ( N S E � ) ( N S �� W ) Other Buildings Wetland <br /> Side Side <br /> `..�� ' � C�3 i 2 <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: <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 hatf 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 /> Lot Coverage: SF % <br /> Shoretand District MCWD Permit Received Average�Lakeshore Setback Bfuff <br /> ❑ Yes ❑ No 0 N/A ❑ Yes ❑ No <br /> ❑ Yes ❑ No � Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75-250' � Type(s): Type(s): <br /> 250-500' <br /> 500-1000' I <br /> REMARKS (in-house): <br /> Updated: Q9/11/2009 <br /> z:\formslplan review checklist.docx <br />