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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: �2��U7� ��6'��6�/� �`� � <br /> Description of work: 1 K/U�`a V �� � {�-� <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: � 0 <br /> Building review by: Date Approved: � ' � �— C�ef <br /> rading v.i�nr b : �i� Date Approved: ��'! <br /> �W <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: SF /AC Width: Depth: <br /> Survey Submitted: � Yes � No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the basement floor/ START the distance between the slab and the I <br /> WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the uppermost roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e roof other arch-t e roof <br /> SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest <br /> window and highest roof peak of a pitched window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the <br /> crawl space floor and the highest existing highest existing grade within the <br /> grade within the foundation or 10 feet, foundation <br /> whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buifdin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback I Bluff <br /> 0 Yes ❑ Na � Yes 0 No 0 N/A p Yes 0 No 0 N/A � � Yes 0 No <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' 0 Yes ❑ No ' � Yes ❑ No <br /> 75-250' ! Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />