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Plan Review Checklist for New Structures / Additions <br /> Address/ PI D / LegaL ; �. i'����' ' <br /> Description of work: ����-� '� '`�� - ' ��� % ' '� <br /> Septic review by: /v �/'\� Date Approved: <br /> Zoning review by: �Qj�-1����l�' ('(�,'��'�' Date Approved: `�/ <br /> Building review by: G'� Date Approved: � �� <br /> Grading review by: Date Approved: �'—l� ` O� <br /> Zoning File#: � Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> �� i f. <br /> Zoning: Lot Are : < < / SF AC Wy�n ����� -� Depth: <br /> Survey Submitted: Yes ❑ No Date of Survey: � � I I ��� <br /> Pro o Setbacks: <br /> Fro (Lakej � Rear( treet) ( N S E W ) ( N S E W ) Oth r Buildings Wetland <br /> Side � ide <br /> ; ,� �;: <br /> � / <br /> Building Defined Height: ��� ` �, Building Peak Height: �j� <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 /> SU TRACT 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 />���0 SUBTRACT � the distance between the basement flooN ADD the distance between the slab and the <br />��J�1. � � 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 buildin hei ht <br /> /�.-i � �', <br /> Lot Coverage: 2 J �c..� SF �'�� � � _� ��o <br /> Shoreland istrict MCWD Permit Recei ed � Average Lakeshore Se ack BI <br /> 0 Yes o � Yes � No N/A p Yes ❑ No N/A � Yes No <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Varian Required CUP equired <br /> 0-75' � Yes �1 No ❑ Yes ❑!No <br /> 75-250' ' Type(s): I Type(s): <br /> 250-500' I �} U 1 <br /> 500-1000' ; <br /> REMARKS (in-house): <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />