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Plan Review Checklist for New Structures / Additions <br /> Address/PID/LegaL• 4� I V i�� <br /> / <br /> Description of work: ..... <br /> Septic review by: Date Approved: ^ '"�2.. <br /> Zoning review by: Date Approved:' �/ ! �2--- <br /> Building review by: � Date Approved: �-I 2 <br /> Grading review by: r �i �..� Date Approved: � <br /> Zoning File#: ��S Z Resolution#: �(,���� Resolution Date: ��R�!Z <br /> Zonin District Fire'De artment PostOffice School.District <br /> ���� <br /> Zoning: Lot Area: u e �_SF l AC Width:�„ Depth: �w'� <br /> Survey Submitted: � e� 17 No Date of Survey: 5'2 '� <br /> Pro osed Setbacks: <br /> Fjo�ut(Lake) Rear(3treet) ( N��E w ) (� S E VI► ) Other Buildings Wetland <br /> e Side <br /> �7�, �+j '-E-� ►,� . �� <br /> ,�. . <br /> Building Defined Height Building Peak Height: /�� #of Stories Ok?: �YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE� FORA BUILDING ON A;SLAE3 FOUNDATdON: <br /> START WITH the distance befinreen the basement floor!crawl START the distarice'betvveen the slab and the.highest <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cocnice of a flat roof, <br /> the cornice of a flat roof,the deck,line of a the deck=line of a mansard.raczf;or the <br /> mansard roof,or the uppermost point on a round uppemiost poinf on a roui�d or other a�ch-type <br /> or other arch- e roof roof` <br /> SUBTRACT half the distance,6etween the highe'st,wiadow artd SUBTRACT` half the distance betw�en.fhe highest winiiow <br /> hi hest roof eak'of a it�hetl roof, and hi h�st�oof`e�ak of�az.'��heti r.aof <br /> SUBTRACT the distance between the basemerit floorF crawl ADD �the.distance betweentthe s(�b and t�e-t�igtiest <br /> sp�ce floor and the.highest exisfii�g grade within ; existin �ade w�tliin th�.�fou�idafiion; <br /> the foundation or90 feet,whiChever is less. EQUALS Def�ned.buildin ��i'hf . -. :. <br /> EQUALS Defined°6uildin hei ht <br /> -Lat Coverage: SF ` "/o ; <br /> Shoreland District M�WD Permit Received Avera e Lake�hare,.Se#back Blufif <br /> - � Yes: G No � N/A G Yes No <br /> �Yes O No �Yes � No < G N/A � ' <br /> Permit Number. - �������.5�� SetbaCk: <br /> Hardcover Zones Existin .Pro "osed Variance R , u[red CUP Re uired <br /> 0-75' °' ; '° es G No � .� Yes �No <br /> 75-250' ! • 6 , TYPe(Sl�U��..' �L-- TYPe�s)� <br /> 250-500' � <br /> 500-1000' �G` �(D��� <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review chedclist.docx <br />