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Pw, ,,, . . .. . . . . .. . .. .. .. . . . . ..,.. . . .. . .. . . .. . . ...... .. ... . . . � <br /> - ��an �eviev�r ��e�k�6s� for (�evv �trucfur�s / Adc�ifiio�s <br /> � � <br /> Address/ PID / Legal: � ��� � �J �y �� ��- _ <br /> Descriptionofwork: ��y'-��g � ���,��'= �'� � <br /> �� �� �x� <br /> Septic review by: �€�� �_ Date Approved: ��" � �� �� <br /> Zoning review by: Date Approved: � 4 •� l �� <br /> Buildin revievv b � <br /> 9 Y� �, ��f , �� .��-. Date Approved:_ �' ��,t� � c�- <br /> Grading review by: °F.v�y� r��f��,. _s-=- Date Approved: ,"�' �- ;�m � `� <br /> `r <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District �ire Qe ar�ment ����Qffece �cE�ool Qi�trict <br /> r s �•� <br /> � <br /> Zoning: Lot Area: �� � ��.� ��tr�3�F/AC Width: Depth: <br /> Survey Submitted: 0 Yes Q No Date of Survey: ��" `�`��� � '��-� <br /> Pro osed Setbacks: <br /> ° Front -�ke Rear S et d � S � �' 1 { � � � �W� <br /> � ) (�'��) f ,) Otf�er Buifdings Wetland <br /> _� Si Sid� ` <br /> r��'� ��.-_' ' t���� �-.� � , ��� <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR R BUILDING ON R SLRB FOUNQATION: <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 highe�,t <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: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluf€ <br /> � Yes t7'�No � Yes � No � N!A � 0 Yes �No <br /> ❑ Yes � No ���N/A � <br /> • Permit Number: Setback: <br /> Hardcover Zones Existin� Pro oseci �aria�ce Requirec� CUP Re�uired, <br /> 0-75' � �°' E� Yes ��No � Yes � No <br /> r � � <br /> 75-250' �:� `�`t�'�� ' �� TYpe{s): TYpe(s): <br /> w; 250-500' ',� �.�� <br /> 500-1000' <br /> REMARKS (in-house): <br /> U pd ated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />