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Plan Review Checklist for New Structures / Additions <br /> Address/ PID! Legal: �j � � C-� rn � � �. l-� � 1� <br /> /�,r ;/ <br /> Description of work: `J(, � � " <br /> Septic review by: � �-f' Date Approved: ��� /� - G � <br /> . <br /> Zoning review by: �` r �� ` ' '��� Date Approved: � � I � <br /> Building review by: Date Approved: !� •Z Y- 05 <br /> Grading review by: ����� � � d Date Approved: � �1��r�� � ' <br /> , , � � <br /> Zoning File#: �.�' - Resolution#: R e s o l u t i o n D a t e: <br /> Zonin District Fire Department Post Office School District <br /> e - <br /> Zoning: Lot Area: � SF/AC Width: ; ;_ ,; Depth: <br /> Survey Submitted: ❑ Yes �No Date of Surve : � <br /> y ��U�i �'�' <br /> Pro osed Setbacks: <br /> Fronti(Lake) Rear(Street) ( N �S� E W ) ( �1�, S E W <br /> ) Other Buildings ' Wetland <br /> Side Side <br /> ; � i _ , / Ir <br /> , ?�,�_� �� �� � <br /> �� _�, �r-- � �- <br /> '_ r- � � � L <br /> Building Defined Height: L� ' �) 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 /> %r"` space floor and the highest roof peak,the top of WITH roof peak,the top of the comice of a flat roof, <br /> the cornice of a flat roof,the deck tine 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 '� De ned buildin hei ht <br /> Lot Coverag: �I J � SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Sefb k Bluff <br /> � Yes 0 No ❑ N/A ❑ Yes ;d No <br /> ❑ Yes ❑ No ❑ Yes ❑ No C� N/A <br /> Permit Number. � Setback: <br /> i <br /> Hardcover Zones� Exi tin Proposed Variance R� ui d CUP Required , <br /> � 0-75' ❑ Yes No ❑ Yes � No <br /> � <br /> 75-250' Type(s): Type(s): <br /> 250-500' ' <br /> � <br /> 500-1000' � <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />