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y Plan Review Checklist for t�ew Structures / Additions <br /> � <br /> Address/PID/ Legal: ��� ��r%�� <br /> Description of work: ���p �r` <br /> Septic review by: Date Approved: <br /> ,� ; <br /> Zoning review by: � ' Date Approved• � <br /> � ,�, ' <br /> Building revievv by: �� � �: � �,r,�,�_T- Date Approved: �� - ���Q � � <br /> �r � _��,". <br /> Grading review by: � � Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> � <br /> �: <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> r �Pl : � <br /> Survey Submitted: �I�Yes ❑ No Date of Survey: � �� � � <br /> Pro osed Setbacks: <br /> Front (Lake) Rear(Streetj ( N S E W j ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: OI YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDIMG 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 /> 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 the distance between the slab and the highesi <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 % <br /> Shoreland District MC1MD Permit Received Avera e Lakeshore Setback Bluffi <br /> 0 Yes ❑ No 0 N/A � Yes 0 No <br /> ��, Yes � No ❑ Yes 0 No � N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Prop ed Varianc Re ui d CUP Req ir <br /> � 0-75' �� :�'� ��,�(� %, ❑ Yes ��No 0 Yes u o <br /> � 75-250' '°, � :� � �`�f"�(�� � •� %� TYPe(S)� ' Type(s): <br /> 250-500' �� :'�'� �;�, i,' �,, <br /> i o � ,��� .�' �y� :� <br /> 500-1000' � , i �1�," N J,�? � <br /> REMARKS (in-house): <br /> U pdated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />