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PLAN REVIEW CHEC�{LIST FOR NEW STRUCTURES / ADDITIOMS <br /> Address/PermitNumber: 3�^� ������ {�� <br /> Description of work: (��V"`s��=Z- <br /> Septic review by: N/A Date Approved: <br /> Zoning review by: N�//a Date Approved: <br /> Buiiding review by: Date Approved: �^ '2.2- 'z-o�3 <br /> Grading review by: N�i� Date Approved: <br /> Z ning District: Zoning File#: Reso#: Reso'Date: <br /> Zom :Lot Area: SF/AC Width: Lot Coverage: SF _°lo <br /> 5urvey bmitted: 0 Yes 0 No Date af Survey: Revised date(?): <br /> Pro osed tbacks: <br /> Front(Lake) Rear(Street) { N S E W ) ( N S f W ) Dther Buildings Wetiand <br /> Side Sitle <br /> Defined Height: Peak Height: FFE: FE�minus fi feet= (Existing Contour) <br /> Perimeter(linear feet)= 50%_ # f Stories Ok? C YES <br /> FOR A BUILDING WITH A BASEMENT OR WL SPACE: <br /> The distance een the lowest FOR A B.UILDING ON A SLAB fOUNDATION: <br /> START WITH proposed floor(o he basement or crawl <br /> space)and the hig t point of the roof. START WITH The distance between the top of slab and <br /> If you have a... <br /> the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED OOF(no . GABIE OR HIPPED ROOF{no <br /> windows): SubtracCha the wintlows): Subtract'halfthedistance <br /> distance'between the hig point between the highest point of the roof <br /> ofi the roof to the low poi the to the low point of ihe cortesponding <br /> SUBTRACTION corresPonding gable or ippe of SUBTRACTION gable or hippetl roof <br /> (BASED ON ROOF . �',p$LE OR HIPPE O�F(with {BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windowS):`Subtr half the` ROOF TYPE) wintlows): Subtract haif the distance <br /> distance be the top ofthe beMreen the top of the highest ' <br /> highestwind and the highest wi�tlow and fhe highest;po'rnt of the <br /> point of th oof �f <br /> • ALL OTHER ROOFTYPES{flat, <br /> • ALL O ER ROOF TYPES(flat, mansaM,etc:No subtrection. <br /> man rd,etc):No subtraction. ADDRION Add the distance between the top of slab <br /> SUBTRACTION Subtra e distance betweert the (BASED ON and the fiighest existing grade adjacent to <br /> (BASED ON EXISTING �se enUcrawl space floor and the EXISTING the faundation. <br /> GRADES) hi estexisting grade adjacentto the GRADES <br /> undation OR 1D feet(whichever is less). EQUALS Deflned building hefgM <br /> EQUALS Defined buflding hefght <br /> Shoreland D' trict MCWD Pecmit Received Avera e Lakeshore tback Met? Biuff <br /> � Yes '0 -No G N/A '� Yes � No <br /> 0 Yes � No 0 Yes � No N/A <br /> Permit Number. Setback: <br /> to water Quality Existing Proposed Variance Required CUP . quired <br /> O rla District Tier Hardcover Hardccver <br /> D Yes � No � Ye � No <br /> TYpe(S)� TYpe(�)� <br /> Updated: January 2013 <br /> v:\forms�plan review checkiist 2073.docx <br />