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, Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: _ �,�_�� 1r_��� l� �,� ( e � <br /> Description of work: ��,,�h��j �j� C/�+�� C�S 1'Y�U �tC/� <br /> Septic review by: ��.1/,— Date Approved: � -� Z - <br /> Zoning review by: Date Approved: ? �Cf' �J <br /> Building review by: Date Approved: Q3 •� - !'(� <br /> Grading review by: Gt2 [iN_ C�S�� Date Approved: ��?��� � <br /> Zoning File#: " �J Resolution#: Resolution Date: <br /> Zonin Di tr�ct Fire Department Post Office School District <br /> � <br /> Zoning: Lot Area: 0 U2r Z. /�4�es SF/AC Width: Sa 6�' Depth:�_�_ <br /> Survey Submitted: e'Yes ❑ No Date of Survey: ��2Z fQ�, -J/ZZ�(� <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) , � N S � W ) ( N S E N�) Other Buildings Wetland <br /> I Side Side <br /> n�. � <br /> Buildin Defined Hei ht: h����' h���s� ��.�►-K o �uS¢- <br /> 9 9 uilding Peak Height: # of Stories Ok?: �S <br /> �?," c�✓�4 ��c.,.�-�. i�' <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: F�`7'% +`�� <br /> START WITH the distance between the basement floor/crawt 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, i <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 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 I 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 o�o <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes �No ❑ Yes ❑ No ❑ N/A <br /> ' Permit Number: Setback: <br /> Hardcover Zones Existin �, Proposed Variance Required � CUP Required <br /> 0-75' � ❑ Yes ❑ No j ❑ Yes ❑ No <br /> 75-250' TYPp(S): j TYpe(S): <br /> 250-500' <br /> j 500-1000' <br /> REMARKS (in-house):� A�pprw2� ��yt ('ivlG IVY�r� �ct� �2.. p�,�/v�n��- <br /> _ � -t(i.' 7��15 ��v�L�Li' <br /> Updated: Q9l11/2009 <br /> z:lformslplan review checklist.docx <br />