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� plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: ��� �; 5� ��J � C � � � f� � <br /> � , <br /> Description of work: <br /> Septic review by: � Date Approved: " �� 2 �Z� <br /> Zoning review by: Date Approved: (, <br /> Building review by: Date Approved: - �6 — / D <br /> Grading review by: C Date Approved: � � � C� <br /> Zoning File#: � � �/`"17 � Resolution#: ✓ Resolution Date: �V <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Ar � SF/AC Width: Depth: <br /> Survey Submitted: Yes ❑ No Date of Survey: �/`� <br /> Pro osed Setbacks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings � Wetland <br /> Side Side <br /> � <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 round uppermost point on a round or other arch-type , <br /> or other arch-t e roof I 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 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 i <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet, whichever is less. � EQUALS Defined buildin hei ht <br /> EQUALS � Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback B�uff i <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: i <br /> Hardcover Zones Existin Proposed Variance Re uired CUP Required <br /> 0-75' , ❑ Yes ❑ No j ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-100Q' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />