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Plan Review Checklist for New Structures / Additions <br /> �Address/ PID / Legal: l 7 S� �X � <br /> Description of work (,vA t�Z �/3yy�aG� ��/�1�/L <br /> Septic review by: �/1'+ Date Approved: <br /> Zoning review by: (�'� Date Approved: <br /> Building review by: Date Approved: 6' 7— I I <br /> Grading review by: i�l� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> onin District Fire Department Post Office Sch I District <br /> Zoning: t Area: SF/AC Width: epth: <br /> Survey Submitted: 0 Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(S et) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height:� / #of Stories Ok?: � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: �R A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/ wl � START the distance between the slab and the highest <br /> space floor and the highest roof peak, the top 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 rou d 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 wi ow and BTRACT 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�i'oor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existin�grade within existin rade within the foundation <br /> the foundation or 10 feet,which er is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht \ <br /> Lot Coverage: SF \ �o <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setb Bluff <br /> C!�Yes ❑ No 0 N/A � Yes � No <br /> ❑ Yes 0 No � Yes 0 No 0 N/A <br /> ;�Permit Number. S�ack: <br /> Hardcover Zones Existin Proposed Variance Required CUP quired <br /> 0-75' 0 Yes � No 0 Yes '. ❑ No <br /> 75-25 ' Type(s): Type(s): <br /> 25 -500' `� <br /> �00-1000' <br /> REMARKS (in-house): /� �-�`l�,EsQ <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />