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Plan Review Checklist for New Structures / Additions <br /> Address/ PID / Legal: j � J I �`/V L-� l� <br /> Description of work: `"/�-�iL/�� /�C-�'S�� <br /> Septic review by: __� ,,� � Date Approved: ���� - C? � <br /> Zoning review by: 1� Date Approved:-__�;�'�� <br /> i <br /> Building review by: c�� Date Approved: �Z'�"1 - C%�-j <br /> Grading review by: �.'� ?,; 1�r`;����. �'�'�`� Date Approved:�?�/ l C` <br /> Zoning File#: - -- ---� Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: 'j�' - '� SF/AC Width: �C��� Depth: ��`�i 'r ' <br /> Survey Submitted: es ❑ No Date of Survey: � ' Z Z—' ` t <br /> Pro osed Setbacks: o ' �`f� l- � �. ' l;� <br /> Front(-��e} Rear(St�ee�3 � N S C�W ) ( N S E W�, Other Buildings Wetland <br /> Side Side <br /> I Z�1 I �f�V' / �� ` ,� ` � I-3 �}..'T��'- �. � ' �.:'.J <br /> I�cx�l : rr t <br /> Building Defined Height: Building Peak Height: #of Stories O�C?f ❑ 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 /> s� 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 roof <br /> SU��AC� half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> • S 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 betv✓een the slab and the highest <br /> 1� � Z 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: �g '3 �l �- SF % <br /> Shoreland District M D Permit Received Avera e Lakeshore Setback Bluff <br /> es � No ❑ N/A ❑ Yes �I o <br /> es 0 No ❑ Yes ❑ No m�J/A <br /> � Permit Number: ��- �yc.� Setback: <br /> � Hardcover Zones Existin Proposed Variance Re uired CUP Required <br /> � 0-75' 0 Yes � No ❑ Yes ❑ No <br /> �� 75-250' Type(s): Type(s): <br /> � �b 250-500' <br /> ��� 500-1000' � <br /> � ���'t.l�Y <br /> REMARKS (in-house): �ASQ.l�yl�/' �`S Y1 d� � � C"(iY4 , O.vY.f2 <br /> C'C'i� S {r�c�t� o� �-el�l r � �t <br /> Updated: 09l11/2009 <br /> z:\forms�plan review checklist.docx <br />