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�lan Revie�nr Checklist for New Structures / Additions <br /> ,� , , , ; � , - <br /> Address/ PID/ Legal: _� �; �- � . i �-. . <br /> Description of work: �,��� ,��� � <br /> �_:: <br /> Septic review by: �f�'��E�~ Date Approved: -=�1" � � ^ ` �J <br /> Zoning review by: �L�� Date Approved: ���� <br /> (' Building review by: �� � ��� -� Date Approved: �'� � t ` �� �. <br /> � Gradin review b �('�t��1 () � ?�j E7i <br /> 9 Y� Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lot Area: 0('����� Z�� SF/AC Width: Z@"I ' Depth: .3Q(p� ►J <br /> Survey Submitted: �es 0 No Date of Survey: 1 " 1� ' I Z �� � <br /> Pro osed Setbacks: <br /> Front e) R�ar(S�et) (� S E W ) ( N �S E VV ) Other Buildings Wetland <br /> Side `-�ide <br /> � Z�p' � (p1-� __�__ � �� <br /> � <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 FOUNDATIOM: <br /> ST RT 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 /> UBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> hi hest r o of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT the dis�a e een the basement floor/crawl ADD the distance between the slab and the highest <br /> i, �`� space ob�, e highest existing grade within existin rade within the foundation <br /> P, <br /> ;/� the founc�a`t�o�10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Receivec� Avera e Lakeshore Setback Bluff <br /> 0 Yes 0 No � N/A 0 Yes �No <br /> � Yes No � Yes 0 No N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance Requirec! CUP Re uired <br /> 0-75' ❑ Yes �0�0 � Yes o <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />