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� . <br /> PLAN REVIEW CHEC�(LIST FOR NEW STRUCTURES / ADDiTIONS <br /> AddressiPermit Number: '�� �%� �=�t2'v��:: i-`J t}�n� <br /> Description of work: ���� Ek�1= i S t y C�►l�--S N�Gc �� <br /> Septic review by: /v i f� Date Approved: <br /> Zoning review by: fv r✓-� Date Approved: <br /> J /� <br /> Building review by: _ �l� Date Approved: <br /> Grading review by: N j v�- Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning:`d.ot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Sub ' ed: 0 Yes � No Date of Survey: Re ' ed date ? : <br /> Proposed Setbac : <br /> Front(Lake) ear(Street) ( N S E W ) ( N S E W ) ther Buildings Wetland <br /> Side Side <br /> Defined Height: Pe Height: FFE: E minus 6 feet= (Existing Contour} <br /> Perimeter(linear feet) _ % _ # f Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPA <br /> The distance between the lowe FOR A BUlLDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement o rawl <br /> space)and the highest point of the r f. START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... <br /> 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 belween the highe point belween the highest point of the roof <br /> of the roof to the low point f the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or pped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED OOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtra alf the ROOF TYPE) windows): Subtract half the distance <br /> distance betwe the top of the between the top of the highest <br /> highest windo and the highest window and the highest point of the <br /> point of the of roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OT R ROOF TYPES(flat, mansard,etc:No subtraction. <br /> mans ,etc):No subtraction. AD TION Add the distance between the top of slab <br /> SUBTRACTION Subtract e distance between the (BAS ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING base nUcrawl space floor and the EXISTI the foundation. <br /> GRADES) hig st existing grade adjacent to the GRADES <br /> fo dation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS efined building height <br /> Shoreland D' trict MCWD Permit Received Avera e Lakeshore Setback Me . Bluff <br /> � Yes � No � N/A Yes 0 No <br /> 0 Yes � No 0 Yes 0 No � N/A <br /> - Permit Number: Se l�ack: <br /> Stormwater Quality Existing Proposed <br /> Overla District Tier Hardcover Hardcover Variance Required CUP Required <br /> . � Yes � No � Yes 0 No <br /> Type(s): Type�s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />