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� � ' Plan Review Checklist for Ne�nr Structures / Ad itions <br /> � Address/PID/ Leg�l: Z(�� b ,< e 1� {�/��(L�c�,,�� � z �3 <br /> Description of work: I U N 1'� '�� � �g }-t <br /> Septic review by: /� �� Date Approved: <br /> Zoning revi�w by: ►�1 f/� Date Approved: <br /> Building reviiew by; Date Approved: Z-�S- l Z <br /> Grading rev�ew by: N/f�' Date Approved: <br /> ning File#: _ I Resolution:#: Resolution Date: <br /> Zonin Dist ict Fire De artment Post O�ce `Sa ooI Distri <br /> Zoning: Lot�,rea: SF/AC Width: < Dept : <br /> Survey Subm ed: ' � Yes � No; Date of Survey. : <br /> Pro osed Setbac . <br /> Front(Lake) Rear(Str�et) ( 'N S E W ) ( N S E W ) pther B ' ding Wetland <br /> Side 5ide <br /> Building Defined Hei�ht: Building'Peak Height: #of ories Ok?: � YES <br /> FOR A BUILDIMG WITH BASEMENT OR WL SPACE; FOR A`BUILDlN ON A SLAB FOUNDATI N: <br /> STARTWITH the di tance'between the b ement floor/crawl START the distance between e slab and the highest <br /> spa�#loor and`the highest ro peak,the top of WITH roof peak,the top of th cornice of a flat roofi, <br /> the mice of a flat roaf,the de line of a the deck line of a man artl roof,or ihe <br /> mansprd roof,or the uppermost p ' ton a round uppermast point on a r untl;or other arch.type <br /> or ot er arch- e roof ' roof' <br /> SUSTRACT half t e distance>between#he highest dow and BTRACT half the distance betw en the highest window <br /> hi he t roof eak:of a i#ched roof and hi hest roof eak f a itched roof <br /> SUBTRACT the di tance between the basement flooN c I ADD; the.dis#ance:between.t e slaband the highest <br /> spacd floor and the highest existing grade;with existin rade within t foundation <br /> the fo ndation or10 feet,whichever is iess. EQUALS Defined buildin hei h <br /> EQUALS Defin d buildin fiei ht <br /> Lof Caverage: 5F ;% <br /> Shareland Dis ict MCWD Perrnit ceived Ave e Lakeshore Setback Bluff ' <br /> � Yes G � N/A , Yes � No <br /> � Yes �� No C] Yes � `No � N/A <br /> ' Permit Num r, Se back:` <br /> -Hardcover Zone Existi Pco osed Variance Re ired UP Re uiretl ' <br /> ' 0-75' 0 Yes � o � es . � No <br /> 75-250' TYpe(s): TyPe(s . <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-ho se), <br /> Updated: 09/ /2009 <br /> z:lformslpla review checkli t:doac <br /> � <br />