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. <br /> Pian Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: Z � �.� �,r�;�r <br /> Description of work: =lLc,ti�- s ;-�;� n <br /> Septic review by: /V i�'+ Date Approved: <br /> Zoning review by: �' � Date Approved: <br /> Building review by: .�r �-- Date Approved: I Z -`/-�I <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 0 No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <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 <br /> space floor and the highesf�roof peak,ihe top of WITH roof peak,the top of the comice 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 flobr/crawl ADD the distance between the slab and the highest <br /> space floor and the ttighest 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: i"� SF �\ % <br /> Shoreland Distri�t MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> '� 0 Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> � Yes '�0 No 0 es ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro osed Varia e Required CUP Required <br /> 0-75' � Yes � ❑ No ❑ Yes ❑ No <br /> 75-250' Type�S�. , TYPe�s): <br /> . <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> U pdated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />