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Pian Review Checklist for New Structures / Addi�ion� ' <br /> Address/ PID/ Legal: _ ��"� �Q r0 �C �.-� �.-}- ' <br /> � l <br /> Descri tion of work: ��; Z'�-l;' �� .-� C-� �J <br /> P 1 �LL�` � � �� '���- � �. <br /> Septic review by: �) ��— Date Approved: J r��,j- (j q <br /> Boning review by: ' Date Approved:�11� <br /> uilding review by: ��� �tit,.�,�,� Date Approved: ��- L <br /> Grading review by: [� /�;� ��'� ; l'l.'V►��r� Date Approved:_ �T��(� <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> � �` _ ' <br /> Zoning: Lot Area: � / �./ SF/AC Width:_ ��� Depth: `t �T <br /> �, .. <br /> Survey Submitted: 0 es � No Date of Survey: ' � ���- � I� - (�, ( 'f <br /> Pro osed Setbacks: `�.;.-• �� <br /> _=,, ,_ tM `..\,v� �, , <br /> Front.� Rear(� ( N S E CW�) ( N S C�W � Other Buildings Wetland <br /> Side Side <br /> Zl � C i.- � � �1�� l' �1 <br /> Building Defined Height: � ` ` � Building Peak Height: ��_ #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/crawl START the distance between the slab and the highest , <br /> L( 7 � � 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 /> i or other arch-t e roof roof <br /> SUBZRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> 43 hi hest roof eak of a itched roof 67 and hi hest roof eak of a itched�oof <br /> SUBTRACT the distance between the basement floor/crawt 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. �l•�i EQUALS Defined buildin hei ht <br /> EQUALS `l• Defined buildin hei ht <br /> Lot Coverage: �q SF % <br /> Shoreland District WD Permit Received Avera e Lakeshore Setback Bluff <br /> Yes 0 No ❑ N/A 0 Yes ❑ No <br /> ❑ Yes No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: � � �3c� Setback: <br /> Hardcover Zones Existin � Proposed Variance Required CUP Re uired <br /> 0-75' ❑ Yes 0 No ❑ Yes ❑ No <br /> 75-250' Type(s): � Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): _ 1�(�.��?�d 1t1 �J �t�] CG�{��,J �^s�.-� �j J �/ <br /> �e� C�r�...� <br /> Updated: 09/11/2009 <br /> z:lforms\plan review checklist.docx <br />