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Plan Re�eievv �heckiist for I�e� S�ru�tures / Addi�ior�s <br /> Address/ PID/ LegaL � � � � <br /> Description of work: ��rX,���� ���� ��� <br /> Septic review by: � .�Q� Date Approved: �"��' � � <br /> Zoning review by: i � ' �� Date Approved: �Q "( �� � � <br /> Building review by: Date Approved: q(�- � � �t � <br /> Grading review by: Date Approved: <br /> Zoning File#: �� �,�� Resolution#: Resolufion Date: <br /> Zonin Distric� Fire Department Post Office Schoo! District <br /> -r Q <br /> Zoning: Lot Area: 6(�� SF/� Width: � Depth: <br /> ` Survey Submitted: �es � No Date of Survey: � ���' � � �, <br /> Pro osed Setbacks: <br /> �. Front(Lake) Rear(Street) � � � � ) � � �S�� w ) Other Buildings lAlletland <br /> � <br /> Side 'Side <br /> � `'`' �' ��� � i � �� <br /> Building Defined Height ���9 Building Peak Height: �i`' #of Stories Ok?: 0 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 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 j 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: �d� �� f SFO � •�� % <br /> ShoreEand District MC1ND Permit Received Avera e Lakeshore Setback Blu�f <br /> � 0 Yes 0 No � N/A ❑ Yes o <br /> 0 Yes No 0 Yes �� � N/A <br /> Permit Number: A� Setback: <br /> Hardcover Zones Existin Froposed Variance Required CUP Re uired . <br /> 0-75' Yes ❑ No � Yes No <br /> 75-250' i Type(s): Type(s): - <br /> .��_ � � <br /> 250-500' -�,� �, , <br /> 500-1000' ��� ' `�'��° <br /> REMARKS (in-house): <br /> Upd ated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> �..�.;�.,.,:... ..;.- ..._:>�.:.. _. . � ,. ,... . .;._ _ _ _ _ . <br />