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Pean Rev�ev�+ ��eckii�t for� [�e�a Structures / Adc�ition� <br /> Address/ PID/ Legal: � � �� ,�,� � <br /> � . . <br /> Description of work: ��� <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> : Building review by: `�-m� �� Date Approved: � ���� ,�� <br /> x°� � �, <br /> � Grading reviev�r by: Date l4pproved: <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 Q No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E IM ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES <br /> �� FOR A BUILDING 1lVITH 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 /> f: 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 IVICWD Permit Fteceived Avera e Lakeshore �etback Bluff <br /> 0 Yes ❑ No 0 N/A 0 Yes � No <br /> � Yes ❑ No � Yes � No 0 N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Requireci CUP Re uired <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:\forrns\plan review checklist.docx <br />