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� � � Plan Review Checklist for New Structures / Additions <br /> �l S � <br /> Address/ PID/ Legal: �� l,� s �-- � ( �1/� <br /> Description of work: /� ����� ��� � ��7�l � ,��h� <br /> � �r2c,� <br /> Septic review by: Date Approved: � — (� �` �O <br /> Zoning review by: Date Approved: �/ ��a �� b <br /> Building review by: _ � Date Approved: � `2-� �� d <br /> Grading review by: �//4' Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> I <br /> , <br /> Zoning: Lot Are�. SF/AC Width: Depth: <br /> Survey Submitted: ❑ '�es ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Stre� ( 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 /> `, <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC ' FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement flo r/crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak, th 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 r und uppermost point on a round or other arch-type I <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance between the highest window a d SUBTRACT half the distance between the highest window II <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/crawl 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: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin I Propos d Variance Required � CUP Required <br /> 0-75' ❑ Yes ❑ No j ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): I <br /> 250-500' � <br /> 500-1000' <br /> REMARKS (in-house): �/��C� CiL'! �{'1�U �(/� Gi� f - �Z � (S <br /> S � �iYI- 'G�1 - N�1�t ' S h�c.c.Gz-�-� - � �' <br /> Updated: 09/11/2009 ���J� ��/�/ x � <br /> z:\formslplan review checklist.docx� C�l �L �� 1���(.12�/V�Q,I �" <br /> j'-�-t 1c;�.�e c;.t I�,.� S �� <br /> ���� <br />