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�la� Re�rie�r �hec�C�ist for �iew S�ructur�s / Ac�ditions <br /> p` ' %r <br /> Address / PID / Legal: �4 ���� � �� �` '� � `t � <br /> ,�� � <br /> Description of work: M ,�:� ���l� ����, ���, � � ����,,,,,����� <br /> � �� <br /> E <br /> Septic review by: '�r'l�s �'" Date Approved:__ �I — � I `' �� <br /> Zoning review by: ��' `°"�' a' ��y'� ����•" ��� � Date Approved: � '�"��' �,�� <br /> ;': Building review by: "•,,,.. Date Approved: � —S —�� � <br /> � Graciing review by: �l�i- Date Approved: --���'"�f� <br /> Zoning File#: '�'� Resolution#: �ID Resolution Date: "m`�"'�` <br /> Zonin District Fire De artment Post OfFice School District <br /> Zoning: Lot Area: �-t��%' `-�^2�y �6 tt>, �6 SF/AC Width: Depth: <br /> Survey Submitted: � 0 No Date of Survey: �� � P� � <br /> Pro osed Setbacks: <br /> Front L e� Rear Street � � 5 � � N S E W <br /> �1 ( ) 1 ( � Other Buildings �!l6et-h�`id , <br /> Si Side �-�r�;,,*��� <br /> � <� � � C�'� f�; ! �u f <br /> �j e � <br /> E : ' � d <br /> Building Defined Height: � BuildYing Peak Height: �=� #of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAVVL SPACE: FOR A BUILDING O�!A SLAB FOUNDATION: t��� <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 flooN crawl ADD the distance between the slab and the highest <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 /> Shoretand District IViCWD Permit Received Avera e Lakeshore Setback Bluff <br /> 0 Yes � No 0 N/A � ❑ Yes No <br /> �es 0 No 0 Yes ❑ No Cd` N/A <br /> Permit Number: Setback: <br /> � Hardcover Zones Existing Pro osed Variance Require CUP Required <br /> yK> 0-75' o � �� � ❑ Yes o � Yes o <br /> 75-250' ��•0`�"�4 ��'•�� �� TYPe�s)� Type(s): <br /> 250-500' �,'�'()�� � � <br /> 500-1000' �,��� � �, <br /> REIVIARKS (in-house): <br /> - Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> �. _.w __ _ _ . __ . �_: :_.. <br />