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' � . <br /> Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: J 11 ���� <br /> Description of work: � ���- � �7Uv �—�� � � �'1�,�,� j j'�� � <br /> Septic review by: Date Approved: '��-�"/U <br /> Zoning review by: Date Approved: � � <br /> Building review by: Date Approved: -�'1 - 'b — t v <br /> Grading review by: � ( 1�t Date Approved: � <br /> Zoning File#: (v'r�" Resolution #: I�Y�' Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> �,� 1 ia <br /> Zoning: Lot Area: a ! � SF Q AQ Width: Depth: <br /> u <br /> Survey Submitted: �Yes 0 No Date of Survey: i � �� 1 � j, -��/� <br /> Pro osed Setbacks: <br /> Fron ake) �(StPeet) �� Side W , ( N $ide W � Other Buildings Wetland <br /> � � 4� ; N �� , <br /> .—.. <br /> Building Defined Height: 1��" 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 sl nd the highest <br /> space floor and the highest roof peak, the top of WITH roof peak,the top of th rnice of a flat roof, <br /> the cornice of a flat roof,the deck line of a the deck line of a sard roof, or the <br /> mansard roof, or the uppermo point on a round uppermost poi on a round or other arch-type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance be en the highest window and SUBTRACT half t istance between the highest window <br /> hi hest roof of a itched roof a �i hest roof eak of a itched roof <br /> SUBTRACT the dista between the basement floor/crawl ADD "the distance between the slab and the highest <br /> sp 'filoor and the highest existing grade within -�'� existin rade within the foundation <br /> e foundation or 10 feet, whichever is less. EQU S Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes ✓��Vo ❑ N/A 0 Yes fO�No <br /> � Yes �o ❑ Yes �0 0 N/A <br /> � Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Re uired <br /> 0-75' � Yes o ❑ 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:\forms\plan review checklist.docx <br />