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Pian Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: �Z � � {�,t,( �p( <br /> Description of work: ��� �'��'���- <br /> Septic review by: v Y �I Date Approved: �-" ��{ "'" << <br /> Zoning review by: Date Approved: Z� ���I � <br /> Building review by: � i„��a„�,,� Date Approved: ?�-.�--�d-- l <br /> Gradin review b � �� ��� � � ���� � � <br /> 9 Y� ���'�E`��G1�1 Date Appro�ed: c„� .' ' <br /> �i /e � <br /> Zoning File#: �— Resolution#: Resolution Date: � � � <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: 2• �� SF/� Width: �ZoS f" Depth: <br /> Survey Submitted: �yes 0 No Date of Survey:_ � - Zt��! � <br /> Pro osed Setbacks: a <br /> ront�Lake) ea (Street) ( N S E W ) ( N S E ) Other Buildings Wetland <br /> Si e Side <br /> (.e`7 �'-+ .g' (�•�i IJ� u�4- <br /> '± ,L � <br /> Building Defined Height: Building Peak Height: ���.� #of Stories Ok?: YES <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 /> 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 /> SUBT�ACT 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 /> SUBTRACT the distance between the basement fl q� �'I ADD the distance between the slab and the highest <br /> ` � space floor and the highest existing g�hf��iUbiff existin rade within the foundation <br /> � the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht <br /> UAL Defined buildin hei ht <br /> Lot Coverage: �� p' SF % <br /> Shoreland District MCWD Perm9t Received Avera e Lakeshore Setback Blu <br /> � Yes 0 No 0 N/A � / � Yes No <br /> Yes 0 No � Yes � No i�N/A <br /> Permit Number: � � Setback: <br /> Hardcover Zones Existin Proposed Variance R u' ed CUP Re ire <br /> 0-75' 0 Yes No ❑ Yes No <br /> �. 75-250' �� � � � �j$� Type(s): Type(s): <br /> � � 250-500' ��•g a <br /> � 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />