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. . � <br /> Plan Review Checklist for New Structures / Additions <br /> ) �j (.� � �-, <br /> Address/ PID/ LegaL `�` �� G' X -��i " <br /> Description of work: _ 'r� �-����1.� ; ' ���=c,: � " <br /> Septic review by: / V �'a Date Approved: �� - 1� jU <br /> Zoning review by: � � Date Approved: � � %� <br /> Building review by: —( ,� - Date Approved: � - 3 - I� <br /> � <br /> Grading review by: Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> ' �, - I/� <br /> : <br /> Zoning: Lot Area:_ C� C�r� �AC Width: `��� �J Depth: ��'�y <br /> Survey Submitted: GYYes ❑ No Date of Survey: � '��L� "�'�� <br /> Pro osed Setbacks: <br /> Front(L-al� Rear(S��set� ( N S E VVj) ( N S �W ) Other Buildings Wetland <br /> Side Side <br /> ,�, . '� / - � !� ,� r l <br /> �'��_d ��ri,� ���. ��__. �l � v- �,��� ��/� <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 /> 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: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> Yes ❑ No ❑ N/A � Yes ❑ No <br /> ❑ Yes �No ❑ Yes ❑ No ❑ N/A , <br /> c���u��n _-�i�;�la,-�-�! Permit Number: ��_�(�j Setback: � <br /> -���r,�-� �, �,� :�7,� r�Y ,l�c btir[�r�a9 w., t,�vs��-+ <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' � Yes ❑ No ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): UC ���� �� � /C'C�t�� �L � /��r'�r; '� / ? .f���_ C-i, <br /> �.�(C/i''�'�`'-�y_� — /-�;'DiC��w�l � '�:_(� �• %c�' ����� <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />