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Pian Review Checkiist for New Structures / Additions <br /> Address/ PID/ LegaL � �� ,� C�� ��:. <A�� <br /> Description of work: � c� �W 5R.- t'b (1�� /�,LiC��__� <br /> Se tic review b `' <br /> P Y� f� Date Approved: ��% ` � �'��% j <br /> Zoning review by: .Qi Date Approved: �z 7_/(� '�� <br /> Buildin review b `� T <br /> 9 Y� Date Approved: � Z •7- o� <br /> Grading review by: " � Date Approved: Z Z,3 ZO�O <br /> w 1 C.. <br /> Zoning File# (��j ' �?j7 � Resolution #: Resolution Date: � <br /> � Zonin District Fire Department ; Post Office School District I <br /> / <br /> Zoning: Lot Area: � o �� SF AC Width: �3� Depth: 2.5 � <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: ' " Z� '0�f �'� . l� ' Z7`�1 <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) Ii ( N S E W ) '� ( N � E W Other Buildings � Wetland <br /> Side �� Side (s�'p�'� <br /> ` �� I Gv�— <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 I the distance between the slab and the ' <br /> i WITH crawl space floor and the highest roof peak, i 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 I <br /> �, oint on a round or other arch-t e roof I other arch-t e roof <br /> , SUBTRACT ! half the distance between the highest SUBTRACT I, half the distance between the highest <br /> � window and highest roof peak of a pitched /�, , window and highest roof peak of a <br /> ' roof ' � �v i pitched roof � <br /> i SUBTRACT I, the distance between the basement floor/ � ADD the distance between the slab and the � <br /> I crawl space floor and the highest existing � � highest existing grade within the i <br /> i grade within the foundation or 10 feet, ' foundation I <br /> � ' whichever is less. � '� �� <br /> E UAL <br /> _ Q S � Defined buildmg hei ht � <br /> , EQUALS ' Defined buildin hei ht I <br /> �ot Coverage: y�3 S 3 SF �(� . � ��o <br /> � Shor nd District MCWD Permit Received ' Average Lakeshore Setback � Bluff <br /> � Yes ❑ Na � Yes ❑ No ❑ N/A �s ❑ No ❑ N/A � Yes No � <br /> � Permit Number: Setback � <br /> , Hardcover Zones ; Existin Proposed ' Variance Req ired CUP Required I. <br /> 0-75' ' �� V�, � '� ❑ Yes o es ❑ No <br /> 75-250' S S� , (� Type(s): �I Type(s): <br /> � 250-500' i 5 � ! �p � �� �-�o odp(A-IY� � ! <br /> � 500-1000' ' �_ -� �er'f�Yr�tv�C�e.�'t� <br /> REMARKS (in-house : I� v Q8 W h'lVY1 tVL C� � <br /> ) f Irl � S ( � � <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />