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� � � � • Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: /,�� C�FL vy C�tr•�5c ,D� <br /> Description of work: l� � �-c1-��.v rcx-�u,�n� ( <br /> Septic review by: JV;A Date Approved: <br /> Zoning review by: �V!� Date Approved: <br /> Building review by: ������ Date Approved: L - ��0 - � 2 <br /> Grading review by: � i i3 Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office Sc�4ol District <br /> ,/ <br /> Zoning: Lot Area: SF/AC Width: �� Depth: <br /> Survey Submitted: 0 Yes � No Date of Survey: O <br /> Pro osed Setbacks: �� <br /> . <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E N�) Other Buildings Wetland <br /> Side Side ; <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 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 r,�und uppermost point on a round or other arch-type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance between the highest vvindo�nr 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 exist�hg grade within existin rade within the foundation <br /> the foundation or 10 feet,whichever is less. .�QUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF `� % <br /> Shoreland District MCWD Permit Received Avera e Lak shore Setback Bluff <br /> fl Yes � No 0 N/A '�, � Yes 0 No <br /> 0 Yes ❑ No � Yes � No�� ❑ N/A <br /> Permit Number: �� Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No ` � Yes ❑ No <br /> 75-250' TYPe�S): TYpe�'s�: <br /> 250-500' �. <br /> 50Q�1000' �_ <br /> i <br /> REMARKS (in-house):_ ,�ti� L i-�✓-};vC,�� <br /> Updated: 09/11 I2009 <br /> z:\forms\plan review checklist.docx <br />