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— T <br /> .rtu_yN k.._._� . „3.� ,....,M-.. ,. . .--�.....Y_, . :..�.,M,.-..W.:��rr��... - �._,� ,... ..rcm:.;.�s.r,r <br /> # . <br /> +,, <br /> ''; Plan F�eview �heck�is� for 1`ie� S�r��tures I Ac�di�i��s <br /> Address/ PID/ LegaL �� `'�� � �� - ���� "� '' <br /> , <br /> Description of work: "���,.'! , �_,, . ;;: �i��� �`'; �'t-�4 `��'����� r'�I���:z.�,,� -_ <br /> a r� � �°,�: <br /> Septic reviev�r by: � � �� �' L Qate Appeoved: � „ t <�� <br /> Zoning review by: � �° Date Approvecl: <br /> Building review by: ,��,�� �,����_-T- Date �pproved: "�� �� � ° ��d� <br /> � <br /> Grading review by: ���U��'�` �ate Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin Distirict Fire �epartrnent Post�ffece Schoo! District <br /> Zoning: Lot Area: SF/AC Width: Depth,:=' <br /> n� <br /> Survey��bmitted: ❑ Yes Q No Date of Survey: <br /> Pro osed Setbac�ks: ��� <br /> � <br /> Fr�r�t (Lake� � `iRear(Street) � � � E � ) ( f� S E W ) 'Other Builciings �Ifet�land <br /> Side Side <br /> ! <br /> Building Defined Height: Building Peak Hei�h�' ,' #of Stories Ok?: 0 YES <br /> ,,> <br /> FQR A BUILDING WITH A BQSERrtENT OR CRAWL SPAC�. � FOR A�UILDiNG ON A SLAB FOUNDATION: <br /> START WITH I the distance between the basement floorl e(aw�' � START the distance between the slab and the highest � <br /> � space floor and the highest roof peak, the tc�p•pf WITH � roof peak, the top of the cornice of a flat roof, � <br /> the cornice of a flat roof,the c�eck line o#a the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost poini an 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 hi�hest window and SJBTRACT half the distance between the highest window � <br /> hi hest roof eak of a itche�roof `� and hi hest roof eak of a itched roof ' <br /> SUBTRACT the distance between the�iasement flooN crawl ADD\ �-� � the distance between the slab and the highest <br /> space floor and the highest existing grade u✓ithin ��, existin rade within the foundation <br /> the foundation or 10#eet, whichever is less. EQUALS `",,pefined buildin hei ht <br /> EQUALS Defined buildin F��ight '� <br /> Lot Coverage: SF ���. <br /> � <br /> Shoreland Distri�t �IIC\IV� Permit�eceiv�d l�vera e Lakeshore Setbac`yc, B�uff <br /> 0 Yes � No E3 N/A �: f� Yes � No <br /> Q Yes � No ❑ Yes L� tVo Ct N/A ;—` <br /> Permit Number. I Setback: <br /> �fardcfiver Zones ! Exi�tin �roposec# Variance E�ec�uired CUP Re uired <br /> 0-75' � 0 Yes � No 0 Yes ❑ No <br /> 75-250' � Type(s): Type(s): <br /> 250-500' � <br /> 500-'i 000' <br /> REMARKS (in-house): ���'�` �� �'�����,, �z� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> �, _ _ a . <br /> �. ..::._ , <br />