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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: � � ` �� ��� ` , <br /> Description of work: � �� �1OS > �X��`1 V G � Vv� �;�i-f� �.J .�� y�U` c�C� <br /> C. �V=ti 1/�C � �C " I I Vi � <br /> Septic review by: �r Date Approved: � `� � '�� <br /> Zoning review by: � �� Date Approved: � � 2 � `� � <br /> Building review by: � Date Approved: � - �?� � � U <br /> Grading review by: � � � /� Date Approved: � - f' �: ! (1 <br /> Zoning File#: _ ���-f��� Resolution#: Resolution Date: Z <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: <br /> Pro osed Setbacks �- , <br /> Yyr�'�ti,v� Y �, _ ' �. <br /> Front(ta�Ce�- Rear(£�reet� ( N S (� W ) ( N S E N�) Other Buildings Wetland <br /> Side Side <br /> �j�t � � Vi v �I�'w,y,ci'� .�lv. S ' �'1 Cj �-��t ' -� /'t' /'L ��A <br /> ----�n�--��ld�-�.�{V <br /> Building Defined Height: Building Peak eight: � #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 I <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: '� y �� SF (I,ai •71 % <br /> Shoreland District MCWD Perm' Received Avera e Lakeshore Setback Bluff <br /> � ❑ Yes No ❑ N/A 0 Yes ❑ No I <br /> Yes ❑ No ❑ Yes ❑ No ❑ N/A <br /> �I�.,�,�,. �r. �,�e���- Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' Yes � No ❑ Yes No <br /> 75-250' �V� � Type(s): Type(s): <br /> 250-500' ti C.'�%c.' ! �� :7�'__1 i�;..a._1L y e�, ����.�� <br /> C� d. , ,,�i'(--(' � �,,�� �e�� v.�1'��t�s:� <br /> 500-1000' l=; �' �e�i�� <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />