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, � � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: Z �j3`� �,�ts�.,o pp�N � (Z��-� <br /> Description of work: (� i'►^-JfltrZ ( ��-e,,tc ,5 nr o j �nr�r.�-�.��) <br /> Septic review by: /U/o� Date Approved: <br /> Zoning review by: //g Date Approved: <br /> Building review by: < Date Approved: .Z-r—to <br /> Grading review by: /v(/�- Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> / <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitt : 0 Yes ❑ No Date of Survey: � <br /> Pro osed Setbacks� <br /> Front(Lake) R r(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> ` Side Side <br /> Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL`�PACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basem t floor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof pea'k�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�f 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 d 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. `�QUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF \�� % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones , Existin Proposed Variance Re uired CUP Re uired <br /> 0-75� ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75-250' Type(s): Tj�e(s): <br /> 250-5 ' \ <br /> 5 -1000' �� <br /> RE RKS (in-house): �8 C�G�y�}-N�� � � <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx ` <br /> \ <br />