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Plan Review Checklist for New Structures / Additions <br /> Address/ PID / Legal: �(� -( ) r�/j�ti (�JCiD c� �� <br /> Description of work: ���,���(� ���,`�,� <br /> Septic review by: Date Approved: � <br /> Zoning review by: Date Approved: ( l� % <br /> Building review by: Date Approved: 4 • L - v`� <br /> Grading review by: �� Date Approved: G C �� <br /> Zoning File#� �� - � � Z � Resolution#'�- Resol�4{S n e: (" � � `� � <br /> � Zoning District ! Fire Department � Post Office School District � <br /> Zoning: Lot Area: �� Z?7 SF AC Width: Depth: <br /> Survey Submitted: 0 Yes ❑ No Date of Survey: ���� 7���w �� <br /> Proposed Setbacks: <br /> I � ..,;' <br /> Front(Lake) � R r S reet I, ( N S E W � ( N S E W ) ' Other Buildings �I Wetland <br /> ; � i e ' Si e <br /> I <br /> Building Defined Height: '� ' Building Peak Height: ' / �7 l 7 ��V � <br /> —v—.—/ � <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> � START � the distance between the basement floor/ � � START ! the distance between the slab and the � <br /> WITH� ; I crawl space floor and the highest roof peak, I, WITH � highest roof peak, the top of the cornice �i <br /> I the top of the cornice of a flat roof, the deck I j ! of a ftat roof, the deck line of a mansard � <br /> � �� I line of a mansard roof, or the uppermost j � roof, or the uppermost point on a round or � <br /> � ' oint on a round or other arch-t e roof j ! other arch-type roof � <br /> I SU TRA�t T half the distance between the highest � ; SUBTRACT � half the distance between the highest j <br /> i ��Ci1 I window and highest roof peak of a pitched ' � ' window and highest roof peak of a <br /> `. l ✓ <br /> ' roof itched roof <br /> I SUBTRACT � the distance between the basement floor/ I I ADD the distance between the slab and the I <br /> � crawl space floor and the highest existing , highest existing grade within the i <br /> � q grade within the foundation or 10 feet, I ! I foundation <br />��Gj�/ � I ! whichever is less. i ! EQUALS ' Defined building height <br /> 1� � EQUALS ; Defined buildinq height ; <br /> '"I <br /> �Lot Coverage: SF % <br /> j Shoreland District MCWD Permit Received I Average Lakeshore Setb ck � <br /> ❑ Yes ❑ No ❑ N/A I ', ❑ Yes No <br /> � Yes ❑ No ❑ Yes No ❑ N/A Setback� i <br /> ! Permit Number �� <br /> Hardcover Zones ! Existin Proposed ariance Required CU Required <br /> 0-75' Y s ❑ No '� ❑ Yes i <br /> 75-250' I ,. T s): �� Type(s): <br /> � 250-500' I I ` � � i <br /> 500-1000' I <br /> �'� <br /> REMARKS (in-house): <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />