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� = �L�4N REVIEW CHECKLIST FOR NEIAI STRUCTURES / ADDITIONS <br /> �" <br /> � Address/Permit Number: ���� �t���,a v�, <br /> Description of work: ������ � ���'� <br /> ,� <br /> Septic review by: ��@� Date Approved: <br /> � <br /> Zoning review by: , �� Date Approved: � ���!��� <br /> ___ _____Building review by___ Date Approved: ��-��� �°� <br /> --------- ------------------------ <br /> Grading review by: ��� Date Approved: <br /> .� � <br /> � Z ning District: Zoning File#: Reso#: Reso D�te: <br /> nr, <br /> ��`y <br /> �: Zoning. �ot Area: SF/AC Vilidth: Lot Coderage: � SF �% <br /> �� Survey Sub ' ed: 0 Yes � No Date of�urvey: Revi�d date(?): <br /> Pro osed Setbac • <br /> ���� '� <br /> � <br /> Front(Lake) �ar(Street) d � S E W ) ( N S E W ) OtF� r Buildings Wetland <br /> ``� Side Side � <br /> ��.� <br /> �� �r <br /> Defined Height: Pe Height: FFE: FFE rp nus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) _ ���°o = #of St�ries Ok? � YES <br /> �. � <br /> FOR A BUILDING WITH A BASEMENT OR CRAVWL SRAC ' r� <br /> .� <br /> The distance between the lowes F A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement or wl <br /> space)and the highest point of the roo START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> ' SUBTRACTION corresponding gable or hipped r f SUBTRACTION <br /> gable or hipped roof <br /> � (BASED ON ROOF . GABLE OR HIPPED ROOF( fh � (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the�-` \, ROOF TYPE) windows): Subtract half the distance <br /> ; distance between the top o4`the �@_ between the top of the highest <br /> f highest window and the J�t`ghest �: window and the highest point of the <br /> point of the roof ,! '�, roof <br /> • ALL OTHER ROOFy�YPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):N :'subtraction. mansard,etc:No subtraction. <br /> ADDI N Add the distance between the top of siab <br /> SUBTRACTION Subtract the distanc�'between the (BASED N and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawi space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation Qf7 10 feet(whichever is less). EQUALS � De�ned building height <br /> EQUALS Define�Xiullcling height <br /> / �`�,. <br /> w <br /> Shoreland District MCWD Perreiit i2eceived Avera e Lakeshore Setback Met? Bluff <br /> �!� � Yes � No � N/R � Yes � No <br /> � Yes I��No � Yes 0 No L'� N/R <br /> � Permit Number: Setba <: <br /> Stoemw�fer Quality Existing Rroposed \,rariance Required CUP Required <br /> Overi ��istrict Tier FEardcover Hardcover <br /> �� - � Yes � No � Yes � No� <br /> ��� TYPe(s)� TYPe(�)� -�� <br /> r�' <br /> ��; <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />