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� � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: l � J � � �� ��C � � ��� � � �` <br /> Description of work: W► � �G�l/�� <br /> Septic review by: !,✓ G' Date Approved: �D - �( "-� � <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: �� •Z�- OS <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: SF AC Width: Depth: <br /> Survey Submitted: Yes � No Date of Survey: �G(/" <br /> Pro osed Setbacks: <br /> Front(Lakej Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height:��_ Building Peak Height:_1`�/6 # 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 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: �� SF % <br /> Shoreland District MCWD Permit Received Avera e akeshore Setback Bluff <br /> 0 Yes � No ❑ N/A � � Yes o <br /> 0 Yes No 0 Yes No 0 N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance R qui d CUP Re ire � <br /> 0-75' ❑ Yes No � Yes No <br /> 75-250' Type(s): , Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:lforms\plan review checklist.docx <br />