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p�an Reviev�r C�ecl�iist for (Vev�o Stru�tures 0 Addition� <br /> .. p f � � f"� 9 <br /> Address / PID / LegaL '� `'� <br /> Description of work: ��� <br /> i ' 6 <br /> � Septic rediew by: p `�'' Qate Approved: � "��"` '��� <br /> Zoning review by: � Date Approved: � �`�`� � <br /> Building review by: ��ffi �_ � ��� - Date Approved: � �� �` ;`� <br /> Grading review by: �• � � Date Approved: �S /� <br /> � Zoning File#: Resotution#: Resolution Date: <br /> �onin District Fire De artment F'ast Qffice School District <br /> � �� <br /> Zoning: Lot Area: °��°� SF / C Width: Depth: <br /> j Survey Submitted: es ❑ No (`� � Date of Survey: ��� �� �'"'�"` <br /> � _` t <br /> Pro osed Setbacks: <br /> ` � N S E W ) ( N S E ) Other Bueldings Wetfand <br /> Front (L e} Rear et) ` Si Side <br /> � � � � � � <br /> � ��.� �� � <br /> ; <br /> Building Defined Height: ��� Building Peak Height: #of Stories Ok?: Q YES <br /> FOR A BUILQWG WITH A BASEMENT OR CRAWL SPACEo FOR A BUILDING ON A SLAB FOUNDATION: <br /> S T A R T W I T H t h e d i s t a n c e b e t w e e n 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 o f t he cornice o f a f l a t r o o f, , <br /> the cornice of a flat roof,the deck line ofa the deck line of a mansard.x�;��9r the � <br /> mansard roof,or the uppermost�arrlt on a round uppermost point on��ound or other arch-type '�, <br /> or other arch-t e roof roof -� "'� <br /> SUBTRACT half the distance b�tw�en the highest window and SUBTRACT half,t�e'distance between the highest window <br /> hi hest roof �ea��of a itched roof d hi hest roof eak of a itched roof <br /> SUBTRACT the dist�ance between the basement floor/crawl ADD the distance between the slab and the highest <br /> � spa oor and the highest existing grade within existin rade within the foundation <br /> � e foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined bui�din hei ht <br /> - Lot Coverage: � SF % <br /> Shoreland District MCWD Permit Receive Ave�a e Lakeshore Setback Bfuff <br /> ❑ Yes 0 No N/A � Yes o <br /> f3 Yes No 0 Yes ❑ No /A <br /> �� Permit Number: Setback: <br /> Ffar�cover Zones Existin I P�o � �ariance �e uire CUP Required <br /> 0-75 0 Yes � o a Yes No <br /> Type(s): Type(s): <br /> 75-250' ����"� <br /> 250-500' <br /> 500-1000' <br /> � <br /> REMARKS in-house): � <br /> y°� �. .�� -�` e , �°- � � `J <br /> � g ..Y.._. _ -_ <br /> Updated: 09/1 /200 <br /> z:\forms\plan review checklist.docx <br />