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Plan Review Checklist for Nevv Structures / Additions <br /> :�� -� � � �- �e b ; � . � <br /> ,..'�m �,.�/; ;` 4•'� �.'� �r'� ,�;'�� e S C <br /> Address/ PID! Legal: � -� "� � <br /> Description of work: <br /> Septic review by: �x��" Date Approved: `� �� <br /> � ',! � "� � ,� . <br /> Zoning review by: �' � �1.= Date Approved: � � <br /> Buitding r�view by: Date Approved: � � �b �` I �- <br /> r <br /> �-. �;; ; t!,s';r� iew by: __� ,��'Vt;a;�'�-� Date Approved: �"��' ��� <br /> � <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: � '" Depth: ��:t% � <br /> Survey Submitted: � Yes ❑ No Date of Survey: ° - 4r J � � <br /> Pro osed Setbacks: <br /> Front�ce) Rear eet) ( N ;� S E W ) ( N �wE V11 ) Other Buildings Wetland <br /> �;- Side �de <br /> .�� r I ��' f f�� ` � �� � �f � 's N�`p! <br /> 4 <br /> Building Defined Height: _.����� Building Peak Height: �-�Q�� #of Stories Ok?: � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATtON: <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 /> ' SUBTRACT 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 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. EQUALS Defined buildin hei ht <br /> EQUALS Defined buifdin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Receiveci Avera e Lakeshore�etback Bluff <br /> � � Yes o 0 N/A � 0 Yes No <br /> 0 Yes a-�tt7 No � Yes No � N/A <br /> Permit Number: Setback: <br /> �.' <br /> �;; Hardcover Zones Existin Pro .�e Variance Re uire CUP Re uired <br /> � 0_7�� --� � Yes No � Yes No <br /> � 75-250' - ' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' . <br /> REMARKS ;in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />