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, � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ LegaL ^?�� W, ��'(Zc��A c� <br /> Description of work: l2-C�(i`1C.�=, povl �,o.,sv <br /> Septic review by: /U/� Date Approved: <br /> Zoning review by: /Y( G Date Approved: `c�-6 -a5 <br /> Building review by: d`�• � Date Approved: �S-C-o� <br /> Grading review by: /`��A Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District � Fire Department Post Office School District <br /> i <br /> Zoning: Lot Area: SF /AC Width: Depth: <br /> Survey Submitted: ❑ Yes 0 No Date of Survey: <br /> Pro osed Setbacks: <br /> i <br /> Front (Lake) Rear(Street) ( N S E W ) I ( N S E W ) Other Buildings ' Wetland <br /> Side Side <br /> I <br /> Building Defined Height: Building Peak Height: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the basement floor/ � START the distance between the slab and the <br /> WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, the deck of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the uppermost roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e roof ' other arch-t e roof <br /> SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest <br /> window and highest roof peak of a pitched I window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the <br /> crawl space floor and the highest existing highest existing grade within the <br /> grade within the foundation or 10 feet, foundation <br /> whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> � Yes 0 No � Yes ❑ No ❑ N/A ' p Yes � No ❑ N/A � Yes � No <br /> Permit Number: Setback: <br /> Hardcover Zones , Existin Proposed Variance Required CUP Required <br /> 0-75' � Yes ❑ No � Yes 0 No <br /> 75-250' , Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): ZN 1�-tvvf� ��t7 l.g c.G n--� <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />