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� � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: 2� �S � �-, 1� 5( <br /> Description of work: 13�151_M� (�rT- � 1 Nl S i-) <br /> Septic review by: ` Date Approved: <br /> Zoning review by: � Date Approved: <br /> Building review by: � Date Approved: � Z ' S - 1 � <br /> Grading review by: /`� �/�' Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School Distsict <br /> Zoning: �. Lot Area: SF /AC Width: Depth: � <br /> Survey Subri�itted: ❑ Yes � No Date of Survey: <br /> Pro osed Setbaalcs: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A gUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/crawl I START the distance between the slab and the highest <br /> space floor and the highest roof peak, the top of 4VITH 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 artd 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/ rawl ADD the distance between the slab and the highest <br /> space floor and the highest existing gracte within existin rade within the foundation <br /> the foundation or 10 feet,whichever is'less. EQUALS Defined buildin hei ht <br /> EQUALS I Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCV1l Permit Received Avera e Lakeshore Setback Bluff <br /> ❑ Yes � No 0 N/A 0 Yes � No <br /> 0 Yes ❑ No � Yes 0 No ❑ N/A <br /> f��rmit Number. Setback: <br /> Hardcover Zones , Existin Pro osed Variance Required , CUP Required <br /> 0-75' ❑ Yes � No � Yes � No <br /> 75-250';� TYPe(s)� ���TYPe(s)� <br /> , <br /> 250>500' �� <br /> � <br /> 0-1000' � <br /> REMARKS (in-house): �''d C <br /> Updated: Q9/11/2009 <br /> z:lformslplan review checklist.docx <br />