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�-F_�.._ .-,-,^ -r'.--a�-�— ?-r- �-�"� . ^-"=.;-.�r_�......_,:_ .__.___ . .,,_._ .� _.,.�_. ... , _ _ -. .= a .�,.. . �. . .. -. <br /> y P�a� Review �heckl�s� fe�r �e� St�u�tur�s / �,c��li�io�s <br /> Address/ PID/ Legal: _ ; G( (?� f'���C. �4' � % <br /> Description of work: � � � <br /> Septic review �sy: � Date Approved: �-`-� � � �� <br /> Zorring review by: Date Approved: <br /> Building review by: Date Approved:�- �' — �0� �. <br /> Gracling review by: �,��P � Qate Approved: �' / � <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment P'ost Office School District <br /> � <br /> Zoning: Lot Area: �•� �� SF/AC Width: Depth: <br /> Survey Submitted: es Q No Date of Survey: � ���'��� <br /> Pro osed Setbacks: � <br /> t Feont (L Rear(S et) � � � '��')� ) ( N S E W ) Other Bui din s Wetlanci <br /> Sic1�e� Side <br /> .'�°"e .� ,� �'/ <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: � YES <br /> - FQR/!BUILDING WITH A BASEIVEENT OR CRAVNL SPA,CE: FOR R:BUILDING ON A SLAB FOUNQ{�TION: <br /> L <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 /> 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 uppermost point on a round-or�ttt`�rch-type <br /> 1�` or other arch-t e roof - roof � � <br /> � SUBTRACT half the distance between-the highest window and SUBTRACT half the dista��e'between the highest window <br /> � hi hest roof eak c�f a itched roof and h� est roof eak of a itched roof <br /> SUBTRACT the distance:between the basement floor/crawl ADD distance between the slab and the highest <br /> spac or and the highest existing grade within existin rade within the foundation <br /> th o�undation or 10 feet, whichever is less. EQUALS Defined buildin hei ht <br /> 1 <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCIIVD Permit Received Avera e L�keshore �etback Bluff <br /> � 0 Yes � No � N/A � Yes o <br /> � Yes No � Yes 0 No �/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro ose� uariance I�equir CUP Re uired <br /> 0-75' Q Yes No C� Yes No <br /> 75-250' '`i j Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> RENIARKS (in-house): <br /> � <br /> Updated: 09/11l2009 <br /> z:\forms\plan review checklist.docx <br /> �. <br />