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<br /> P{an Revievv �hecklist for IVew Structure� / Additions
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<br /> - Address/ PID/ Legal: , a �
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<br /> Description of work: ����� �<J v 1��,/t.�./ a——��� lsp�� � l'c�
<br /> Septic review by: Date Approved:�� �� '� � �
<br /> Zoning review by: Date Approved: �� � 1
<br /> Building review by: � ,.._ Date Approved: 3 --'� — Z.Dc'l
<br /> Grading review by: �� '��(������� Date Approved: �"^�— , �
<br /> Zoning File#:�J�— Resolution#: Resolution Date:
<br /> �", Zonin District Fire �epartment Post Office School District
<br /> Zoning: Lot Ar : �'� SF AC Width: Depth:
<br /> $.
<br /> Survey Submitted: � '� es � No Date of Survey: ��—� � �
<br /> Pro osed Setbacks:
<br /> Front(Lake) Re (Stre�t) ( N S E VV ( IV S E W ) er Buildings Wetland
<br /> Side Sicle �-
<br /> � � �,�6
<br /> ��E ab�Cf
<br /> Building Defined Height: �Bilding Peak Height: #of Stories Ok?: 0 YES
<br /> FOR A BUILQING WITH A BP,SENVENT OR CRAWL SPACE: FOR A�UILDING ON A SLAB FOUNDATION:
<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 s 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: r�j� SF %
<br /> Shorelan istrict MCWD Permit Received Avera e Lakeshore Setback B "
<br /> � Yes ❑ No 0 N/A 1 0 Yes �NoJ
<br /> 0 Yes �o � Yes � No A
<br /> Permit Number: Setback:
<br /> Hard�over Zones Existin Pro osed Var�ance R , uired CUP Re uired
<br /> 0-75' ❑ Yes o � Yes � fVo
<br /> 75-250' Type(s): Type(s):
<br /> 250-500'
<br /> 500-1000'
<br /> � REMARKS (in-house):
<br /> �:
<br /> �.
<br /> �:
<br /> �< Updated: 09/11/2009
<br /> p z:\forms\plan review checklist.docx
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