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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: _ � �,� ���'(lQf CJGc:� �f � <br /> Description of work: ` <br /> Septic review by: r'1 G� Date Approved: 7 ^�(v��`� <br /> Zoning review by: L. d Date Approved: <br /> Building review by: �. C� Date Approved: 7- 2 0 • DY <br /> Grading review by: lU �l� Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: <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 <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 /> SUBTRACT 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 /> i roof itched roof <br /> SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the <br /> 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 /> Lot Coverage: SF % <br /> Shoreland District ; MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes � No � Yes ❑ No ❑ N/A p Yes 0 No ❑ N/A � Yes ❑ No <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed � Variance Required CUP Required <br /> 0-75' � 0 Yes ❑ No 0 Yes 0 No � <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): �� �,)1�11� 1����'�"v`� <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />