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��'� � ��� '��� <br /> PLAN REVIEW CHEG�(LIST �OR IVEW STRUCTUR�S I ADDITi ION <br /> , <br /> /�ddress/Permit Number: ��` "� �a`��E i �� � �CX� <br /> Descri�tion of work: �e��-� <br /> Septic review by: �y� � � Date Approved: �- Z--� � � � <br /> Zoning review by: �- �� �" �� �- G-- �� Date Approved: � �1� - i� <br /> �uilding review by: Date Approved: � ' �� ` �-� <br /> Grading review by: � �"�1 f/� Date Approved: �"' <br /> Zoni�g District: �2�d � Zoning File#: Reso#: Reso Qate: <br /> Zoning: Lot Area: : 3 f 5��� SF/AC Width: r'�"� Lot Coverage: ���'� SF d�Q/o <br /> Survey Submitted: �J Yes � No Date of Survey: �-/� �/ c Revised date(?): <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Streetj ( N S � W ) ( N S E �;� ) Other Buildings Wetland <br /> Side Side <br /> �� �� �u /�7�19 c:u-+-t..-� �/"r°� <br /> Defined Height: �" Peak Height: '� FFE: - FFE minus 6 feet= (Existing Contour} <br /> ` Perimeter(linear feet)_ _ 50%= r #of Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAVIPL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> . GABLE OR HIPPED ROOF(no :f you have a... <br /> windows): Subtract half the GABLE OR HIPPED ROOF(no <br /> windows): SubtraCt half 4he distance <br /> distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> ,. dis4ance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> �• point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL O7HER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjaCent to <br /> (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS De£ned building height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> �'Yes � No � N/A 0 Yes �'No <br /> 0 Yes � No 0 Yes � No �N/A <br /> Permit Number: Setback: <br /> Stormwater Quatity Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> � Yes No Q Yes No <br /> 3 � 1'� `�. `�`� TYPe�S)� TYPe(S)� <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />