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Plan Review Checklist for New Structures / Additions � � <br /> Address/ PID/ Legal: .,e� !� �(� �b ��`?��y�•�aQ j�� � <br /> Description of work: `7i��c%�^f ('L'-c_�/� �t , ��� y/�+. �-,_��C � <br /> Septic review by: __ � V� Date Approved: � � /�7- �� <br /> Zoning review by: �/' � <br /> Date Approved: � "- � � - l L� <br /> Building review by: �� Date Approved: �� t �-rC� <br /> Grading review by: ( ��- Date Approved: � " �� ' ��') <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: 2• L �� SF/AC Width: �?� t Depth: `�`r�] <br /> Survey Submitted: Yes ❑ No Date of Survey: �'�f( (/ 1� <br /> Pro osed Setbacks: <br /> Front(d.a�k� Rear(&tree�t�' ( N S E �) ( N S C�.` W ) Other Buildings Wetland <br /> Side Side <br /> h�.l7�F;,l h,�.�-c� � (�` `1 Z' f� ., e� :�1�=���� I �� � � <br /> � <br /> Building Defined Height: �� Building Peak Height: # of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/crawl START 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 round uppermost point on a round or other arch-type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT 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 I 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: j�1� SF % <br /> I Shoreland District MCWD Permi Received Avera e Lakeshore Setback Bluff <br /> j � Yes No ❑ N/A � 0 Yes ❑ No <br /> 0 Yes C3'No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' 0 Yes ❑ No 0 Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> I <br /> 500-1000' <br /> REMARKS (in-house): '�vV�r�f�it� r'�:_�/�je,;G;�., �1�;� �r�'��;��'L'� �jC'c" az �� �,,, �S Cv c.l� <br /> � � f 5� { ' �/ �� - �°v�M�.�✓' O L9�3� Q /- <br /> �x C�1t,F� ic�, ,�r vi�vY�cl r c. �c��-C �s -� <br /> Updated: 09/11/2009 ��+ �<� �/Z� ha/ f ai�S � ` / <br /> z:\forms�plan review checklist.docx �� -��rh��� �� d r�G.���� <br /> '",v vva�lL�C� l✓I i c��,S �t e Hlrry r/ fi�C,�sLn L I n i�(�c: �r-r�rh10 <br />