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P��n R�view Checklist fo�° tVew Str�ctur�s / �4dd��ior�s <br /> Address/ P6D/ Legal: � <br /> Description of work '��-f �� <br /> Septic review by: � � �ate Approveci: <br /> Zoning review by: Date Approved: <br /> �uilding review by: Date Approved: � �Y..� — �F'2� <br /> Grading review by: � � Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> �onir� District Fire De artment �ast Qffice School District <br /> ��� <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: � Yes e o Date of Survey: <br /> Pro osed Setbacks: <br /> �ront(Lake) Rear(Street) ( N S E VII ) ( Ri S E W ) Other Buildings Wetiand <br /> Side Side <br /> t <br /> Building Defined Height: � Building Peak Height:�� #of Stories Ok?: CJ YES <br /> FOR A BUILDING VNITH A BASEMENT OR CRAINL 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 /> Ispace 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 windov,� ! <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 buildin hei ht <br /> Lot Coverage: SF �/o <br /> Shorefand E3istrict i filiCUV� Permit f�eceived Avera e Lakeshore Se4back �luff <br /> � � Yes �, �lo � N/A 0 Yes <br /> � Yes 0 No 0 Yes s�� � N/A <br /> Permit Number: � Setback: <br /> Harcicover Zones I Existin Proposed Varia�ce Re uirecE I CUP Re uirecf <br /> 0-75' � Yes o Q Yes <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 />