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Plan Review Checklist for New Structures / Additions <br /> ' g � � � � �'o�r �4- C-{ S c'� e <br /> Address/ PID/ Le al: � �(' � <br /> G�c Ia R v►� �, <br /> Description of work: �cy0 I �'ZU�O -' CS�Z�j�f� A,itcl �� `2p�0 � 6G Z�t� �.i� <br /> Septic review by: � Date Approved: `1 '�3 � <br /> Zoning review by: Date Approved: 23 �� <br /> Building review by: Date Approved: y ` z� •�V <br /> Grading review by: � Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office � School District <br /> � �- �Q <br /> I <br /> Zoning: Lot Area: � /�e._ SF/AC Width: Depth: 3 ( � /3 q7 <br /> Survey Submitted: �es ❑ No Date of Survey: ��1.5-��O <br /> Pro osed Setbacks: <br /> co..►�, s c�{� i <br /> Front Rear(Street) ( N Q E W ) Other Buildings � Wetland <br /> /�,� � OG E3 Side Side <br /> //��il�'1G1� �/GVf t rl� J�S�.SC ���P SZ.�{�5'� 5��2.�I �3�C�P_C r.' � h �. <br /> S Z .7� �oo l -S(X'ir CY��✓ <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 i <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 'I <br /> or other arch-t e roof roof I <br /> SUBTRACT half the distance between the highest window and SUBTRACT I half the distance between the highest window~� <br /> I 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. � <br /> �EQUALS Defined buildinq hei ht ; <br /> EQUALS I Defined buildinq heiqht � <br /> Lot Coverage: SF % <br /> I Shoreland Distric MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> I�Yes ❑ No ❑ N/A � ❑ Yes ❑ No � <br /> t <br /> �es No ❑ Yes ❑ No �❑ N/A <br /> Permit Number: Setback: � <br /> Hardcover Zones Existin Proposed � Variance Required CUP Required <br /> 0-75' ! I ❑ Yes ❑ No I ❑ Yes ❑ No I <br /> 75-250' I Type(s): TyPe�S�: <br /> 250-500' <br /> 500-1000' - ' <br /> REMARKS (in-house): <br /> Updated: 09l11/2009 <br /> z:lforms\plan review checklist.docx <br />