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� � � Plan Review Checklist for New Structures / Additions <br /> Address/ PI D/ Legal: � S , � � ��� 't�'E �, �Q 'D(', <br /> Descripfion of work: � o R,,.�.�,,� <br /> Septic review by: Date Approved: � - ��� �� <br /> Zoning review by: Date Approved:_ � �l� - � (7 <br /> Building review by: Date Approved: Q � /� -('Q <br /> Grading review by: N(✓�" Date Approved: <br /> Zoning File #: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zo Lot Area: SF/AC Width: Depth: <br /> Survey Su itted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbac � <br /> Front(Lake) r(Street) I ( N S E W ) ( N S E W <br /> � Side � Other Bui ngs Wetland <br /> Side <br /> Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR UILDING ON A SLAB FOUNDATION: <br /> START WITH I the distance between the basement floor/cr ' ART the distance between the slab and the highest <br /> space floor and the highest roof peak,the 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 roun uppermost point on a round or other arch-type <br /> I or other arch-t e roof I roof , <br /> SUBTRACT half the distance between the highest win w and SUBT T half the distance between the highest window � <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched roof � <br /> SUBTRACT ' the distance between the basemen oor/crawl ADD distance between the slab and the highest <br /> space floor and the highest existi grade within exis ' rade within the foundation ! <br /> the foundation or 10 feet, whic ever is less. EQUALS � Define ildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF o�o <br /> Shoreland District � MCWD Permit Received � Avera e Lakeshore Setback � Bluff <br /> � ❑ Yes ❑ No ❑ N/A � <br /> ❑ Yes ❑ No , ❑ Yes ❑ No , <br /> ❑ Yes ❑ No ❑ N/A <br /> I Permit Number. Setback: ; <br /> I Hardcover nes I Existin i Proposed Variance Re uired CUP Required <br /> �-� � ❑ Yes ❑ No I ❑ Yes ❑ No <br /> 7 -250' � TYPP(S)� ; Type(s): <br /> 250-500' <br /> 500-1000' i <br /> REMARKS (in-house): �/'p �,�,q ,JG,� <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />