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__ _ <br /> � � Pian Review Checklist for New S�ructures / Additions <br /> Address/ PID / LegaL �� /�; � '-� �� �- '�- �� :`- �-- <br /> ���r � ;�;. <br /> F Description of work: f�� �i���4� ��i�/t��� � ��,�'� �� <br /> �' <br /> , <br /> Septic review by: � ....��;.,e'"" Date Approved: ,�~° � � � �-�E� <br /> Zoning review by: ( � Date Approved:__ �'�'"���� ( <br /> � uilding review by: Dat� Approved: � ' � � ��� <br /> ����rading review by: � ( � ?��. Date A raved: ��- ! 1 <br /> .y-t�' . pP <br /> Zoning File#: Resolution #: Resolution Date: <br /> d <br /> ' Zonin District Fire �e artment Po�t Office School District <br /> ,�.; � <br /> i ". � s <br /> Zoning: Lot Area �� � � � SF C� ' Width: ;�PJ°c� �-�' Depth: '�"��� <br /> Survey Submitted: �Yes Q No Date of Survey: <br /> Pro osed Setb ks: <br /> Front Lakej Rear( tre ( N S E 1�f } ( N S E �N j Other Buildings 1h��tland <br /> Si� Side <br /> L�-�� ���� ''�� � � �t t'�(}° P� <br /> Building Defined Height: �/� Building Peak Height: �� #of Stories Ok?:�'ES <br /> , <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING OIV A SLAB FOUNDATION: <br /> . START WITH the distance between the basement flooN 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 SU�TRACT 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. E ALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht �" <br /> � <br /> Lot Coverage: �B� SF % <br /> Shoreland District MCVND Permit Received Avera e Lakeshore Setback BlufF <br /> �� ' � Yes C] No � N/A � Yes o <br /> , <br /> Yes 0 No O Yes � No �J N/A <br /> Permit Number: Setback: <br /> liardcover Zones Existin Pro osed �faro�r�ce Re uired Q`UP Re uired <br /> 0-75' � � Yes o Yes � No <br /> 75-250' � Type(s): Type(s): <br /> 250-500' ��=`��5��� � f/��"� �L� <br /> soa�000° ��.�� �g ��,��'�� <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />