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Pfan Review Checkiist for New Structures I Addi#ions <br /> o.ddress•/ PID/Legal: 3y 0 S 1� �Vl-� C��lc� <br /> Description of work: �;n��D(1+.:�--- <br /> Septic review'by: r.1�� Date Approved: <br /> Zoning review'by: � Date Approvecf: <br /> Building review by: Date Approved: /1 "1 �(- 1 ( <br /> Grading review by: N(d� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School Dis ct <br /> � i � �� <br /> , <br /> Zoning: Lot Area: SF/AC Width: D <br /> �� <br /> 5urvey Submitt � ❑ Yes ❑ No Bate of Suruey:_ <br /> Pro osed Setbacks: <br /> �� �� <br /> front(Lake) I R r(Street) ( N S E 1N ) ( `N S � W Other Builciings Wetland <br /> I Side Side �' <br /> � <br /> ��' <br /> Building Defined:Height:. Building Peak Heigt�'� #of Stories Ok?: ❑ YES <br /> (y <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL CE: �FOR A BUILDING'ON A SLAB'FOUNDATION: <br /> `START WITH the distance between the basemen ` oor/crawl START 3he:distance between the sfab and the highest <br /> space floor and the highest roof peak,' e top 1NITH roof peak,the top of the cornice of a'flat roof, <br /> the comice of a flat roof,.the deck fine of s� the deck(ine of a mansard roof, orthe <br /> mansard roaf, or the uppermoSt point on r nd uppermost point on a round or other arch type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance between#he high window and SUBTRACT half the distance between the highest window <br /> hi hest roof eak of a itched roc� and hi hest roof peak of a itched roof <br /> SUBTRACT #he distance between the bas ent floor!crawl �DD the distance between the slab and fhe highest <br /> space floor and the highest isting grade within '� exisfin rade withinthe foundation <br /> I the foundation or 10 feet�✓hichever is less. EQU S Defined buildin hei ht <br /> EQUALS Definetl buildin �hei h �� �� <br /> �� <br /> Lot Coverag�e: � �� SF �� �Q�p <br /> Shoreland District MCWD Rermit Received Avera e L:akeshore etback I Biuff <br /> ❑ Yes ❑ No ❑ N/A i ❑ Yes ❑ No <br /> ❑ Yes ❑ o <br /> � Permit Number: � Yes ❑ No a � � S te back: <br /> I Hardcove ones Existin, , Proposed Variance Required C Required <br /> � �� I � � � Yes ❑ No I ❑ Yes ❑ No <br /> 5-250' Type(s): I Type(s): <br /> 250-500' I � <br /> 5DD-1000' I <br /> REMARKS (in-house): Cl <br /> Updated: 09/11/2009 <br /> , z:lformslplan review checkfist.docx <br />