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� Plan Review Checklist for New Structures / Additions <br /> Address/PID/ Legal: j D S ����� �'`�v� C� <br /> Description of work: �� �1�.� �:� <br /> Septic review by: � Date Approved: — --(� <br /> Zoning review by: � �� � Date Approved: I 2- 15�Oq <br /> Building review by: Date Approved: ! Z- � i�-v�=j <br /> Grading review by: � /V;`f} Date Approved: <br /> Zoning File#: � Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> �_ - �� <br /> Zoning: Lot Area: �-�� ��lD.� SF`AC Width: Depth: <br /> Survey Submitted: LZYes ❑ No Date of Survey: � 1 -, .3 ` �� <br /> Pro osed Setbacks: � ' �Z� - V�� � ��. (� (� <br /> Front(Lake) Rear(Street) ( N S E W ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � � <br /> Building Defined Height: - Building Peak Height: _--- #of Stories Ok?: � 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 the distance between the basement floor/crawf 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: I/�� �Z SF �� '� % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes 0 No ❑ N/A � Yes No <br /> ❑ Yes 0 No � Yes �No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Re uir d CUP Require <br /> 0-75' ❑ Yes No ❑ Yes No <br /> 75-250' Type(s): Type(s): <br /> 250-500' (�',�{3`'�Q 1�0,I��^ <br /> 500-1000' <br /> REMARKS (in-house): I-�rCl C�'u i'Y �� -f'1P,L� V�,!'�+1 (,� Q,,� ,�� �1S��j�, (��� �,1 j V��-j <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />