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Pian Review Checkiist for New Structures / Additions <br /> ��j i, �! �� /y� � I' <br /> Address/ PiD/ Legal: � �' .�,�'';'�'�- ����'� ��� er ( � <br /> Description of work: <br /> Septic review by: �/� Date Approved: � ' � -� � � <br /> Zoning review by: � �• '� �1 � Date Approved: <br /> Building review by: Date Approved: (� - (� - d I <br /> Grading review by: � `i°� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> �; Survey Submitted: 0 Yes � No Date of Survey: <br /> Pro osed Setbacks: <br /> Front � Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> 4�2 � 2 3 5'� Z.Z €�� �3 0l//s� <br /> Building Defined Height: c� .�< Building Peak Height: #of Stories Ok?: 0 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 /> 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 flooN 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 buildin hei ht <br /> ' Lot Coverage: ►�� � SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � � Yes �( No � N/A 0 Yes No <br /> �` 0 Yes �No permit Number: 0 Yes �No � N/A Setback: <br /> � Harcicover Zones Existin Pro osed Variance Re uired CUP Required <br /> 0-75' � Yes � No 0 Yes � No <br /> � 75-250' TYpe(s): Type(s): <br /> � <br /> 250-500' <br /> � 500-1000' <br /> � REMARKS in-house : <br /> ( ) <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />