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.� � � Plan Review Checklist for New Structures / Addi#ions <br />� Address/ PID/ Legal: Ll � � 5 M I lo)�l w u O� 20�4�1 <br /> Description of work: /���� ?7 p � <br /> � a <br /> Se tic review b `" � � � � • <br /> P Y� � v ��r��,'`� �� � �Date Approved: �� � �� <br /> � <br /> ��� �..., <br /> Zoning review by: Date Approved: ' <br /> Building review by: Date Approved: �'1 - cC1 ' � <br /> Grading review by: � � `�� 4� � ` Date Approved: � �� � � � .� <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area;� ..�`�"�� �Z� SF/�AC Width: Depth: <br /> Survey Submitted: `` ���'es ❑ No `` Date of Survey: � � � �1 � a <br /> Pro osed Setbacks: � <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � .�'`"��.-° .� � <br /> Building Defined Height: � Building Peak Height: #of Stories Ok?; 1'���S <br /> t:i <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 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 /> ���k7�`���►����� ' �� V� <br /> Lot Coverage: �'� SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setba`ck Bluff" � <br /> � � �" 0 Yes ❑ No ❑ N/A ❑ Yes ,0'No <br /> ❑ Y�s ❑ No ❑ Yes ❑ No �N/A . �- <br /> � � _-��-�_� Permit Number: `� �a"� � Setback: <br /> �. <br /> � : <br /> Hardcover Zones Existin Proposed Variance R�quir�d CUP Reqt{� ed <br /> o-7s� �� � �_��=��� .��� � o Yes ���o [�' ❑ Yes ��l�.No , <br /> 75-250' ��. ��1 �;� �� .��,�1 TYPe�s)� �TYPe�s)� . <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:lforms\plan review checklist.docx <br />