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�: <br /> Plan F�evievv Gheckl6st for �eHr Structures / Adclit���� <br /> � Address/ PID/ LegaL � � � �� C..s � �� � .� �(s� ���� <br /> Description of work: _ �� � <br /> �, Septic review by: Date Approved: � - (�- �� <br /> �` Zoning review by: Date Approved: � ��� <br /> . �' <br /> �uilding review by: ;�.�� Date Approvecl: � � �- �- ���!�.. <br /> r Grading revievir by�: � Date ApprovecE: �.� � � � <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Offic� Schooi District <br /> �� ; E . <br /> �� �,F� <br /> � �. <br /> Zoning: Lot Area: ��f� E�` SF/AC Width: Depth: <br /> r,•'_� -,a �� <br /> Survey Submitted: �'�es 0 No Date of Survey: `� « � <br /> Pro osed Setbacks: <br /> Front�alce) Rear(S et) l � S �� ) ( I� S E � Other Buildings Wetland <br /> Si 3ide <br /> � " ` �-r �� ° cE � <br /> � <br /> Building Defined Height: � ���- � Building Peak Height: ��%''. %"� #of Stories Ok?: S <br /> � FOR R BUILDING YWITH A�RSElVIENT OR CRAWL SPACE: FOR A BUILQING OAf l�,SLAB FOUNDATIQN: � ��� �� �� <br /> START WITH the distance between the basement floor/crawl START the distance between the slab n 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 /> �i,"����� � � �- the comice of a flat roof,the deck line of a <br /> �� , ..� _ 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 /> SU,BTRACT 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 /> SU�TRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest <br /> ,r , <_; space floor and the highest existing grade within existin rade within the foundation <br /> ' the foundation or 10 feet,wrhichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> �``��� t�tGaverage. ���� r v SF ',' % <br /> � �; <br /> Shoreland District MCIlVD Permit Receiveci Avera e Lakeshore Setbacl� Bluf� <br /> 0 Yes � No � N/A ❑ Yes �'�10 <br /> 0 Yes �No � Yes � No ���/A <br /> ' Permit Number: Setback: <br /> Hardco�er Zones Existin Proposed Variance Require CUP Re uired <br /> 0-75' � Yes No 0 Yes No <br /> 75-250' Type(s): Type(s}: <br /> 250-500' <br /> 500-1000' � <br /> �� i <br /> REfVfARIGS (in-house): �� �'��� +'�� o � s ��� �6 i�'�� � � ����' <br /> ��� ' �� � = d?� a� <br /> Updated: 09/11/2009 � -- <br /> ,. ._�. , <br /> z:\forms�plan review checklist.docx ' � - <br /> s �� , Z� i � _ �. <br /> �l,� -_ _. '�� ����` �r��� <br /> @ - �. � <br /> -: _ - - , <br /> „��,� - <br />