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�.:..vs� �a5:,�-,-,::.�w .�......-i..y.s r,..� .�:�-+" ..s � .. .:. . . �m L�'��+`��'&�t�xµ:rw��".sc�;aaa <br /> ... .,,-> ,�r .t,.:n..t.<s^:; k,;,«r Xy.ear�>'��. :.r.�..�_. e-_v�>:ro���.na.5a.`:.7 <br /> ...... . . . '^'� ..�tSA*'3-�5:i:tGVF,�*fx.l x.�L'd.=:'�i.�.t✓.,�`�+,.�r:'�"`wal'�tr.�,-:�3�.}s-:`>�..,3.�:- <br /> P��� ��v�ev� CF�eck�e�� f�r �I�v�o ��ruct��e� / �c�d��io�� <br /> Address/ PID / LegaL � �r � �_�!� �'� � �� �_ <br /> �: Description of work: ���� `�` ����� � •�,�� <br /> ���: <br /> �" Septic review by: �� Date Approved: " �� <br /> R:. <br /> �h. i , <br /> �oning review by: ' �� "� � Date Approved: '� ' �� ��i" <br /> ,� ,�. <br /> Building review by: � � - -- Date Approvecf: �� � � �� Z�E .,,� <br /> � Grading review by: `� ��`r Date Approved: � S� <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> � <br /> Zoning: Lot Area: �=�� '��.�r�`' s` SF/AC Width: Depth: <br /> � �� <br /> Survey Submitted: �"Yes 0 No Date of Survey: � "". "�� -� � <br /> - Pro osed Setbacks: <br /> ��� Front (Lake) Rear(Street) ( � �S��\�'E 1!U ) ( N S E W ) Other Buildings WetlancE <br /> ��� �ide Side <br /> ;� ���, � . � <br /> , � <br /> Building Defined Height: � o '� 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 highest roof peak,the top of WITH roof peak, the top of the cornice of a flat roof, <br /> 0 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 /> SUBT P�CT 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 /> SUBTRA�T 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 1�feet, whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> P` � '��' '� ��-�-�z <br /> � _ <br /> Lot Coverage: �� �`� SF -�� <br /> Shoreland District MCWD Permit Re�eivec! Av ra e Lakeshore Setbac �luff <br /> �� � Yes ❑ No � N/A ��� Yes �'No <br /> �s � No ��� Yes � No �/A � <br /> f��� Permit Number: –� � e�� � �etback: <br /> �° Hardcover Zones Existin Proposed Vari equired CUP Rec�uired <br /> - 0-75 "'�r�" � � 6��� � Yes o ❑ Yes o <br /> 75-250' �� � ��� E`�� 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 /> � <br />