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� �,.-�,.. .,�. .., _ . .._ ,.._ . � . __ ,... , <br /> _ , ._ . . .. �__ v ..,�.__r_ ..,m. .,._ ..._,._. . _. <br /> � . ._. _ ... <br /> Plan Review Checklist f�r Nevv Structures / Adc�itions <br /> �' ` Address/ PID/ Legal: �� �� �'""-� � �^�-s <br /> s , � � <br /> Description of work: Y�'�` �' •�� � f� <br /> Septic review by: � Date Approved:�- ��' �� <br /> ��" P a� . <br /> � Zoning review by: � ��G�d� '�� ���'Date A roved: � k <br /> "b PP � �, � E�'�v�� <br /> Building review by: Date Approved: Z -1 D �o <br /> Grading review by: � R� Date Approved: / oJ �i <br /> Zoning File#: �'�e�'`� Resolution#: �°k�� Resolution Date: �'r���� <br /> Zonin District Fire De artment Post Office School District <br /> � �c�.� � e`�. ���" fd'�'�d%� a,� � �d� ,.�� <br /> Zoning: Lot Area: �� . �;� SF/AC Width: �;��.� Depth: �° ���QE�'� `"� <br /> Survey Submitted: I�1'es ❑ No Date of Survey: e<°e'� �:�� L�t° � <br /> Pro osed Setbacks: <br /> � Front(�Ice) Rear(�et) � � �� E W 1 l �' � E � ) Qther Buildings Wetland <br /> ` Side Sicie <br /> � �(��` � �e�� `� � `��;�� � `� ;� �. <br /> � a� � � �� <br /> ; Building Defined Height: �� .�� Building Peak Height: �� � #of Stories Ok?: ,���YES <br /> FOFt Q,BUILDING WfTH A BASEMENT OR GRlBWL SPACE: FOR k BUILDING ON A SLAB FQUI�DATION: <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 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: �" F� SF � % <br /> Shoreland District MCW� Perrr�it Received Avera e Lakeshore Setback Bl�ff <br /> � Yes 0 No � N/A � Yes � No <br /> � Yes �{ No 0 Yes � No N/A <br /> Permit Number: Setback: <br /> Hardcover�ones Existin Pra���ed Variance Re uirec� CU� Required <br /> 0-75 � Yes No � Yes J�'No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> � <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br /> �i <br /> 3'. <br />