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. � � Plan Review Checklist for New Structures / Additions <br /> Address/ PID / Legai: �S(�S �/ZGl�C2iGk �q�/[ <br /> Description of work: _ /-�DD i7�0� A�3cv �0.�4$��,f% <br /> Septic review by: Qate Approved: <br /> Zoning review by: Date Approved:_ 9�2$- /Q <br /> Building review by: Date Approved: �j��� �O <br /> Grading review by: _ /lf,�/,}- Date Approved: <br /> Zonin File #: Resolution #: Resolution Date: <br /> onin District Fire De artment Post Office School Dis ict <br /> � � <br /> Zoning: Lot Area: SF /AC Width: Depth:,�9� <br /> Survey Submitted�,� ❑ Yes ❑ No Date of Survey: � <br /> Pro osed Setbacks: �°� ' <br /> Front (Lake) Reat(Street) ( N S E W ) ( N S E W ) p�r�guildings � Wetland <br /> Side Side <br /> � <br /> Building Defined Height: � Building Peak Heigh�,°���� <br /> FOR A BUILDWG WITH A BASEMENT OR CRAWL SPACE: FOR tUILDING ON A SLAB FOUNDATION: <br /> START the distance between the bas�ment floor/ ART the distance between the slab and the <br /> WfTH crawl space floor and the highe`�t roof peak, WITH highest roof peak, the top of the comi�e � <br /> the top of the cornice of a flat roof;�e deck of a ffat roof, the deck line of a mansard <br /> line of a mansard roof, or the upperri'�c�st roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e roo�. other arch-t e roof <br /> SUBTRACT half the distance between the highest ,�' .,� SUBTRACT hatf the distance between the highest <br /> window and highest roof peak of a pit�ied window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the basem�fit floor/ ADD the distance between the slab and the <br /> crawl space floor and the highest existing highest existing grade within the <br /> grade within the foundation oi`10 feet, foundation ' <br /> whichever is less. EQU S Defined buildin hei ht <br /> EQUALS Defined buildin hei ht " �_. <br /> �� <br /> Lot Coverage: SF e�� % <br /> Shoreland District �MCWD Permit Received � Avera e Lakeshore Setback Biuff <br /> ❑ Yes ❑ No Yes ❑ No ❑ N/A ' ❑ Yes ❑ No <br /> Permit Number. ❑ Yes ❑ No �T�❑ N/A <br /> Setback: <br /> � HardcoverZon � Existin � Proposed Variance Required `� CUP Required <br /> 0-75' i ' ❑ Yes ❑ No � Yes ❑ No <br /> 75-25 I TYPe�s)� � TY (s)� <br /> 250- 00' � �� � <br /> 500- 00' I ' � <br /> i <br /> REMARKS (in-house): D N �'—a0i r,�vT— <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />