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, ,,. <br /> P1ar� Review Checklist for New Structures / Ad i#ions <br /> .Address!PID/Leg�L• 2�� � �G(.., C..0�:. V��4/LI�W,A -� 'n <br /> Description of work: �/v D ni �T -t N� 1� <br /> Septic revi w by; Date Approved: <br /> Zoning rev�ew by: Date Approved: <br /> Builtling re�riew by: Date Appraved: 6 -/- � <br /> Grading re iew by: Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zanin Dis rict Fire De artment Post Office Sc ool District <br /> Zonin . Lot rea; ` SF/AC Width: Dept . <br /> Survey S mitted: I � Yes ` � No Date of Survey: <br /> Pro osed S backs: <br /> Front(Lake Rear(Stceet) l � � E W ) ( N 5 'E W ) Othe uilding Wetland <br /> Side 5ide <br /> Building Defined Hei ht: Building Peak Height: #of tories Ok?: 0 YES <br /> FOR A'BUILDING WITH BASEME OR CRAWL SPACE: FOR A BUIL NG ON A SUAB FOUNDATI N: <br /> START WITH the d stance befinree ebasement floor/crawl START the distance befinreen he slab=and the''highest <br /> spac floor and the hig ` t roof peak,the top of WIT ' _ roof peak,the top of t e cornice of a flat roof, <br /> the mice of a flat roof,:th deck line of a #he deck line of a man artl roof,or the <br /> man ard`roof,or the_upperm :point on a round uppermost point on a ound or other:arch-type ' <br /> or ot er<arch- e roof ' roof" <br /> SUBTRACT half t e distance beiween:the high window and SUBTRACT half the distance befinr en the highest window <br /> hi h st roaf eak of a itched roof and hi hest roaf eak f a itched roAf <br /> SUBTRACT the d tance'between the basement floor rawl ADD< the distance between e slab,and#he highest <br /> spac floor and the highest existing grade existin rade within t e foundation <br /> the f undation or 10 feet,whicheuer isJess. EQUALS Defined buiidin hei h <br /> EQUALS Defin d buildirt hei ht <br /> Lot Goverage: % <br /> Shoreland Dis rict MCIAID Pe< �t Received ` Ave e Lakeshore Setback Bluff <br /> � Yes , , No 0 N/A ` Yes '� No <br /> :fl Yes 0 No � Yes No � N/A <br /> ,,Permit N ber: Se back: <br /> Hardcover Zon Exi in Pro osed Variance Re uir ' UP Re uiretl <br /> 0-75' � Yes � No � Yes D No <br /> 75-250' TYPe(�)� , "fype(s : <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in- ouse)� � <br /> Updated: 09/11/2009 <br /> z:lformslplan review checkl' t.docx <br /> i � <br />