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• � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: � J �'�—' �'� n � i� � '� "� � �U � r2/ �' <br /> ��" i� r� <br /> Description of work: �Q�(yVI.�f1�UG� G(�S��C,�S� C'/Yl Q�lS�r1G,� (�,6g�(�„E/�.�► <br /> Septic review by: � � Date Approved: ( —� � C�� <br /> Zoning review by: Date Approved: /-r ��G� <br /> Building review by: � ,_�e�lC.tn,w_ Date Approved: '7- Ci -vc7 <br /> Grading review by: Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> t CZ- ( ia <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: �s 0 No Date of Survey: S ' Z/-07 �'�1/, ��'G"0' <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 /> 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 /> I o�a�e.✓ Z�� <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback � Bluff <br /> �" Yes ❑ No � Yes ❑ No ❑ N/A p Yes ❑ No � N/A ' � Yes � No <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required ! CUP Required <br /> 0-75' 0 Yes � No ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): �/�C� � � dL h�r,-- /7�/h r �'�UC-/�'� LI'���P�/ <br /> by /YI��s�1�.� �n K�nc! <br /> Updated: 07/01/2009 ��C(('U� v�/���-- 5�"h� w/ � ��p'� <br /> z:\forms\plan review checklist.docx <br />