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. � Plan Review Checklist for I�ew Structures / Additions <br /> Address/ PID/ Legaf: _ �g`{3 �Pi2�,1 � �,�J �N� <br /> Description of work: fijr4-f1-� c�.00vv` � vN,o,,p�` <br /> Septic review by: N J� Qate Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved:_ t - 1 � — Z.O� p <br /> Grading review by: _ /U ► 1� Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lot Area: SF /AC Width: Depth: <br /> Survey Submi ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front (Lake) R r(Street) ( N S E W ) ( N S E W ) Other Buil ' gs Wetfand <br /> Side Side <br /> , I <br /> Building Defined Height Building Peak Height: <br /> F�R A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDI ON A SLAB FOUNDATION: <br /> START the distance between the ba ment floor/ ' START the distance between the slab and the <br /> WITH crawl space floor and the high t roof peak, W(T highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roo , the deck of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the upper ost roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e ro other arch-t pe roof <br /> SUBTRACT half the distance between the highest I SUBTRACT half the distance between the highest <br /> , window and highest roof peak of a pitche , window and highest roof peak of a <br /> ' roof itched roof <br /> SUBTRACT ; the distance between the basement oor/ ADD the distance between the slab and the <br /> crawl space floor and the highest xisting highest existing grade within the <br /> grade within the foundation or feet, foundation ! <br /> whichever is less. EQ ALS Defined buildin hei ht <br /> EQUALS ! Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District � MCWD Permit Received Avera e Lake ore Setback ; Bluff <br /> ❑ Yes ❑ No Yes ❑ No ❑ N/A p Yes ❑ No ❑ N/A � Yes ❑ No <br /> Permit Number: Setback: <br /> Hardcover Zone Existin ; Proposed Variance Required CUP Required <br /> 0-75' ❑ Yes ❑ No 0 Yes ❑ No <br /> 75-250' I Type(s): Type(s): <br /> 250- 0' i <br /> 5001000' � � � <br /> REMAR S (in-house): IV c) C lilaN6�P <br /> / <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />