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Plan Review Checklist for New Structures / Additiort� <br /> Address/ PID/ Legal: _ p��� t'L �' y� �� ,� 1 CrG/�j ��,�{ Lf � <br /> , <br /> . <br /> Description of work: eli�C. ^ � � <br /> Septic review by: ��� Date Approved: r ' ��- /� <br /> Zoning review by: Date Approved: �� � <br /> Building review by: Date Approved: �7 - _ � <br /> Grading review by: � <br /> ate Approved: (� <br /> Zon�ng File#: Resolution#: Resolution Qate: <br /> Zonin District Fire Department Post Office Sch ol District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Re (Street) ( N S E W ) ( N S E � <br /> ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Heig : #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the baseme floor/crawl START ' the distance between the slab and the highest <br /> space floor and the highest roof pea ,the top WITH roof peak, the top of the cornice of a flat roof, <br /> the cornice of a flat roof, the deck line o the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost point on ound uppermost poini on a round or other arch-type <br /> or other arch-t e roof � roof <br /> SUBTRACT half the distance between the highe window a 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 I the distance between the base nt floor/crawl ADD I the distance between the slab and the highest <br /> space floor and the highest e 'sting grade within existin rade within the foundation i <br /> the foundation or 10 feet, ichever is less. QUALS i Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF o�o <br /> I Shoreland District MCWD Permit Received j Average Lak bre Setback � Bluff <br /> � ❑ Yes ❑ No ❑ N/A � I <br /> i ❑ Yes ❑ N � ❑ Yes ❑ No <br /> ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> i <br /> Hardcover Z es Existin � Proposed Variance Re uired CUP Required <br /> 0-75' ❑ Yes ❑ No � ❑ Yes ❑ No <br /> 7 50' TYPe(S)� � TYP )� <br /> 50-500' I <br /> � 500-1000' , i <br /> REMARKS (in-house): ��1; PcALt,�7 e p C {�-{{ � e <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />