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� � Plan Review Checklist for New Structures / Additions <br /> , <br /> Address/ PID/ Legal: ,n � �� �fP���('�Ji�f�� <br /> Description of work: c�v� I`-t X ! �,� �� ����`��'\l,^� ��' �C� �� 2/�`�/ k � U/ G1��C����� <br /> S�� <br /> Septic review by: /1f� Date Approved: /�"" ��-C� `� <br /> Zoning review by: � + �-V\ Date Approved: U G � <br /> Building review by: Date Approved: i o • Q'- 0 � <br /> Grading review by: Date Approved: <br /> l '� � i0 13 -� <br /> Zoning File#: � Resolution #: .5� 1� Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> �-�- i� <br /> Zoning: Lot Area: . L.4S� SF /AC ' Width: � v�.'� Depth: �Z� � <br /> Survey Submitted: �"Yes ❑ No Date of Survey: � ��}'�(,� <br /> / � <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) � N � E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � � � � � � 23 ' �5 f3` P� A� l�i'�- "f� <br /> Building Defined Height: �i�t' Building Peak Height: N � # 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 highes' <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 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: �,� 1 � SF ��1 ,�(� % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes � No N/A � Yes No <br /> es � No � Yes � No E�N/A <br /> Permit Number: ��S ��� � �� / � Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Re uired <br /> 0-75' Yes � No 0 Yes No <br /> 75-250' �3 � � �-•q(� ��p Ty e(s): Type(s): <br /> 250-500', L�'�,� �7 � ;, g , �'C�'p ���'t1��E��1�Q�� ��!�- � • . �y <br /> .. . , � . �'r,T a� �� � , X� �� ; .�.i� �+i 1� ►� ed �i,� � <br /> ' S00-1000' '� . • ` • �� ��,�1% � 7 ,�, � ,•� <br /> � ' . , , . . T' �- , ,`' S� t� .1 <br /> REMARKS+(ira,'=h�r.�se�% ' ^ �,y e�; ' - � r, '��fi�l� ���. 4'dr1 � .R '��l'�� h' t <br /> �- �'��'�� y <br /> `-'�� `V• '���� ' , ♦i ' � i`. I • •" � �� <br /> Updated: 09/11/2009 GGG��� <br /> z:\forms\plan review checklist.docx , \�� <br /> � <br /> ��' �}('v <br /> ✓' � <br />