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� . . <br /> Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: ��,� CJ-u( �� U : �'� 1� � <br /> Description of work: � � X � �y �� G�7-P./'t �ln'G�'1 q�- �Y(/'�� C�Q� <br /> Septic review by: � ..)� Date Approved: `�' � � � �C7 <br /> Zoning review by: �� Date Approved: 2� l v <br /> Building review by: Date Approved: �{- Z,�t -1 0 <br /> Grading review by: -- Date Approved: � <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> �l� ' l4 i <br /> Zoning: Lot Area: I <br /> 2 ' � � SF /AC Width: Depth: <br /> Survey Submitted: ❑ Yes [3'No Date of Survey: /.7/d4 pe.✓r�i � Sv✓� <br /> Pro osed Setbacks: �-r�w, � (,¢ <br /> Front(Lake) Rear(j3treF,�- � ( N S CF} W ) ( N ,�S� E W ) Other Buildings � Wetland <br /> Side Side ; <br /> �G� ' ,�r� r o� � � <br /> 75� h/� h� <br /> Building Defined Height: Ni'�- Building Peak Height: # of Stories Ok?: O�ES <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 /> I 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 i <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT I the distance between the basement floor/crawl ADD I the distance between the slab and the highest �i <br /> I space floor and the highest existing grade within I existin rade within the foundation <br /> the foundation or 10 feet, whichever is less. i EQUALS � Defined buildin hei ht ' <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: /V�' SF % <br /> I Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � _� � � ❑ Yes ❑ No ❑ N/A I ❑ Yes ❑ No <br /> ❑ Yes Cfi No � 0 Yes ❑ No ❑ N/A <br /> iPermit Number: Setback: <br /> Hardcover Zones Existin ; Proposed Variance Required I CUP Required <br /> 0-75 i I ❑ Yes ❑ No ❑ Yes ❑ No <br /> I 75-250' Type(s): � Type(s): I <br /> i <br /> 250-500' � <br /> 500-1000' I <br /> REMARKS (in-house): �a Q r,,-c.,•� <br /> Updated: 09/11/2009 <br /> z:lformslplan review checklist.docx <br />