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t wv,,s�::. .....t,�_,..� s ..r..� ...;:5.,.. „ :.:�::: >...:. .-._ y . ..:.m+.!+.. �. :1.3,,�; .>i.� . .. ., i �e::,, e, .,��s, ... .. -:r.. <br /> , . a-..,,w'�. ,' ... .,--::: a' a,. .� .,_:. , ,. .,_;.ta+ <br /> ,_ . . :. .,. .vxn[ �, ..-. .,�w*st� , F ,..:;;.n . .r <br /> P�an F�e�►ie�nr Checklist for Ne�nr S�r�ctures / Additions <br /> Address/ PID /LegaL �� ��� � C� '� �` �� �- ��� �� <br /> Description of work: ,h-� �-�,� � ��� <br /> Septic review by: � Date Approved: - � `~i� <br /> Zaning review by: 1 Date Approved: � �� � � <br /> Building review by: Date Approved: / � � 2 a -?�ol � <br /> Grading review by: i Date Approved: ! �i l� <br /> Zoning File#: Resolution#: Resolution Date: <br /> �'; <br /> �' Zonin District Fire Departrnent Post Office �chool District <br /> � <br /> Zoning: Lot Area: $� � �� SF/AC Width: Depth: <br /> Survey Submitted: �Yes 0 No Date of Survey: "1 '� �� �° <br /> Proposed Setbacks: <br /> Front(� Rear( eet) � �s � � ) ( N � E W ) Other Buildings Wetlanci <br /> Side 'Side <br /> ,. �� <br /> � <br /> �-� � r <br /> Building Defined Height: � F Building Peak Height: � ,� #of Stories Ok?� Y S <br /> � �. ,� _ � <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 /> e �� 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 r�und uppermost point on a round or other arch-type <br /> or other arch-t e roof roof <br /> S�(J T half the distance between the highest window and SUBTRACT half the distance beYween the highest window <br /> ° � hi hest roof eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRA� the distance between the basement floor/crawl ADD the distance between the slab and the highest <br /> ��y 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 /> ����ot Cove�� ��'� SF % � <br /> Shorelanc! District MC�IIID Permit Received Adera e Lakeshore Setback Bluff <br /> ❑ Yes 0 No 0 N/A 0 Yes No <br /> 0 Yes �o � Yes 0 No �/A <br /> Permit Number: Setback: <br /> p; Hardcover Z�nes Existin Pro osed 0/ariance Requir CUP Re uire <br /> 0-75' 0 Yes No � Yes No <br /> � 75-250' T e s : T e s : <br /> Y P ( ) Y P ( ) <br /> 250-500' <br /> � 500-1000' <br /> p, <br /> �- REMARKS (in-house): <br /> � <br /> �': <br /> ` Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />