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Pian Review Checklist for New Structures / Additions <br /> Address/ PID/ LegaL ���d 1`O X �'"'� ' <br /> � <br /> Description of work. ;,� �r,:,• ,�, . , � �j� �,('�c,:'� �' !j, � ,�- , , ,�- <br /> Septic review by: U - �U ' U j Date Approved: r' <br /> Zoning review by: Date Approved: � <br /> Building review by: Date Approved: q� Z - O�( <br /> Grading review by: � � Date Approved: � •2i —�� <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office i School District <br /> Zoning: Lot Ar SF /AC Width: Depth: <br /> !� � <br /> Survey Submitted: Y s � No Date of Survey: 2 <br /> Pro osed Setbacks: <br /> �Front ake) Rear(Street) ( N S E W ) N S E W ) Other Buildings � Wetland <br /> � Si Side / � � <br /> i ; <br /> �( t �� J /� <br /> Building Defined Height: B���ng eak`�ieight: !� / <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the basement floor/ START the distance between the slab and the � <br /> WITH crawl space floor and the highest roof peak, ! WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, the deck � of a ftat roof, the deck line of a mansard <br /> line of a mansard roof, or the uppermost roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e roof other arch-t e roof <br /> SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest <br /> window and highest roof peak of a pitched window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the basement floor/ ' ADD the distance between the slab and the <br /> crawl space floor and the highest existing highest existing grade within the <br /> grade within the foundation or 10 feet, foundation <br /> whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: N /` l SF % <br /> Shoreland ist ict MCWD Permit Received � Avera e Lakeshore Se back BI <br /> 0 Yes No I � Yes ❑ No � N�A p Yes ❑ No �q � ❑ Yes No <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Varianc quired CU Requ� ed <br /> 0-75 � Yes No ❑ Yes No <br /> 75-250' �- Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> EMARKS (in-house): 2 �(� v'`� ^� t v -, <br /> 1 `�ti <br /> 1� �'U �b c��t�� �,;,''c,�'v-� ! , <br /> Updated: 07/01/2009 � � ��'T C-1 ��`� �� �Qn � ` � ,l <br /> z:\forms\plan reviewchecklist.docx ir � -�( . � C; C�,)�� <br /> � ��� <br /> ����� � �% 7 �y � �� _ �� ��' <br />