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� Plan Review Checklist for New Structures / Additions <br /> �--� :, ._ <br /> Address/ PID/ LegaL �,�C�� � ' � ��1 S� '� �-� .-� <br /> Description of work: <br /> Septic review by: Y V � Date Approved: ���'��" %Z> <br /> Zoning review by: �i' -� {M C� Date Approved: l� -2-Z - f o <br /> Building review by: Date Approved: � 0 -Z -z- t o <br /> Grading review by: N �� Date Approved: <br /> Zoning File#: Resolution #: Resolution Qate: <br /> Zonin District Fire Department Post Office School District <br /> � <br /> Zoning: Lot Area: SF 1 AC Width: Depth: <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> i <br /> Front(Lake) Rear(Street) � N Sid� W � I � N S E �) Other Buildings Wetland <br /> Side � <br /> �U � � � 0 ' � ! �� � <br /> Building Defined Height: C9 � �� 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 round i 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 window and SUBTRACT half the distance between the highest window <br /> hi hest roof eak of a pitched roof and hi hest roof eak of a itched roof <br /> SUBTRACT I 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 I <br /> I the foundation or 10 feet, whichever is less. EQUALS I Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: C�• � SF % <br /> Shoreland District j MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � ❑ Yes ❑ No N/A � ❑ Yes I�' No <br /> �Yes ❑ No ❑ Yes ❑ No I�N/A <br /> Permit Number: Setback: '� <br /> Hardcover Zones Existin i Proposed Variance Re uired CUP Required � <br /> 0-75' � • � ❑ Yes ❑ No � ❑ Yes ❑ No <br /> � 75-250' Type(s): TyPe�S�: <br /> 250-500' <br /> � 500-1000' , I <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />