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PLAtV REVIEW CHEC�C�,IS�' FOR NEW STRUCTURES / ADDITIONS <br /> ,k f � ��� ��•�� ��bA� �� ��, � ��,; <br /> Adc!ressiPermit Number: <br /> E� V ` <br /> Description of work: ;'� � ��� ._�� � ��� �� <br /> _ ;� <br /> Septic review by: ~ -'� Date Approved: 6-� --- �•� — p � <br /> Zoning review by: Date Approved: ��� ��t <br /> Building review by: _ `� � Date Approved: � -�� � � � <br /> Grading review by: Date Approved: � <br /> Zoning District: � Zoning File#: �' Reso#: Reso Date: �'�7�j Z» <br /> E�• 12.-7•(2. ' <br /> Zoning: Lot Area: Z �,G S /AC Width: Lot Coverage: SF �% <br /> ` Suroey Submitted: �es � No Date of Survey: �'�-� •�� Revised date(?): <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> S6de Side <br /> , <br /> Defined Height: Peak Height: ° ` F FF�: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50%_ #of Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> ' START WITH proposed floor(of the basement or crawl <br /> ' space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <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 between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION �orresponding gable or hipped roof -� �� SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with � (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows); Subtract half the distance <br /> . • distance between the top of the betwee�the top of the highest <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc:No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> Subtract the distance between the ,P BASED ON and the hi hest existin rade ad acent to <br /> SUBTRACTION I. � 9 9 9 1 <br /> (BASED ON EXISTING basemenUcrawl space floor and the � EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). �-. . EQUALS Defined building height <br /> EQUALS De£ned building height <br /> �� <br /> Shoreland District D Permit Received Avera e Lakeshore Setback Met? Bluff <br /> Yes 0 No 0 N/A 0 Yes �- No <br /> �Yes 0 No � Yes Q No 0 N/A <br /> Permit Number: Z Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> ; �ZD/� Yes � No Yes 0 No <br /> � � � ��� T pe(S>� ��'`�I!�'"� TYPe(S)� t�(P�� <br /> fi <br /> Updated: January 2013 <br /> . <br /> v:\forms�plan review checklist 2013.docx <br /> , <br /> , <br /> �;_„ _ _ . _ . i <br />