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' Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: _ ��2 �; L� /C_ N <br /> � .S[5ti <br /> Description ofwork: ���� '(,� (� h�y"� �-- -��� ��; �� ��� <br /> Septic review by: f V � Date Approved: (� -��_I� <br /> Zoning review by: I��, � �',{"�/� '�-- � Date Approved: � -- �'� - (Q <br /> Building review by: _ �".,,�(��. Date Approved: "� • �z. - J (� <br /> Grading review by: -- Date Approved: <br /> Zoning File#: � Resolution #: N 1� Resolution Date: <br /> Zonin District j Fire Department Post Office � School District <br /> �_ i <br /> Zoning: Lot Area: L� , <br /> ���G' SF/AC:tG Z- Width: I 3 'rJ � Depth: <br /> Survey Submitted: �Yes ❑ No Date of Survey: � -�d I� <br /> Pro osed Setbacks: <br /> � - - I <br /> Front Lake) ear(Street) ( N S E �� ( N S �E r' W ) Other Buildings Wetland <br /> Side Si� <br /> . � � �L(fJ� �7 <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 base floor/crawl START the distance between the slab and the hi hest <br /> � space floor and the highes f peak, the top of WITH roof peak,the top of the cornice of roof, <br /> the cornice of a flat ro , e deck line of a the deck line of a mansard , or the <br /> mansard roof, or uppermost point on a round uppermost point on und or other arch-type I� <br /> or other arc e roof I roof <br /> SUBTRACT � half the ' tance between the highest window and SUBTRACT half the ance between the highest window <br /> hi st roof eak of a itched roof a i hest roof eak of a itched roof <br /> SUBTRACT e distance between the basement floor/crawl ADD he distance between the slab and the highest � <br /> / space floor and the highest existing grade within I exisfin rade within the foundation � <br /> / � the foundation or 10 feet, whichever is less. j EQU LS � Defined buildin hei ht i <br /> EQ S Defined buildin hei ht — <br /> Lot Coverage: gF _ _ZZ `� o�o <br /> Shoreland District j MCWD Permit eceived , �(� '.r�� r -e Setback Bluff <br /> I �� <br /> �Yes � ❑ Yes o \��� / t��� ,`, ❑ N/A ! ❑ Yes No <br /> ..o . � <br /> � ; Permit Number. � � ��' - � Setback: � <br /> � . �_���� <br /> I Hardcover Zones Existin Propo; '�\ � �� �"�' 1 J CUP Re uired <br /> q <br /> 0-75' t�`� �`� No � ❑ Yes No <br /> 75-250' TYPe�s): <br /> 250-500' � � � � <br /> 500-1000' �,� �Q ���� A�� � <br /> REMARKS (in-house): <br /> Updated 09/11/2009 <br /> z:lforms�plan review checklist.docx <br />