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� � ' �LAI��REVIEW CHECKLIST FOR NEW STRUCTURES / DDITIONS <br /> Address/Permit�Jumber: Z O KCC.�-� r4� f�+9 <br /> Description of uvprk: � �3�Z- <br /> Septic re�riew by: �'— Date Approved; <br /> Zoning r�view by: —' Date Approved: <br /> Building teview by: Date Approved: t�•"Z - 0 1 <br /> Grading e�riew by: Date Approved: <br /> Z ing District: ', Zoning File#: Reso#: R s ate: <br /> Zoning. ot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Sub ' . 0 Yes 0 No Date of Survey: evise date"? : <br /> Pro osed Setba <br /> Front{Lake) ' r(Street) l N S E W ) ( N S E W ) ptherBuild ngs Wetland <br /> Side Side <br /> Defined Weight:!� Peak eight: FFE: FE minus 6 feet= jExisting �ontour) <br /> Perimeter(linear+#eet)= 50°0- of'Stories 01c? 0 Y S <br /> FOR A BUILDING H A BASEMENT OR CRAWL SPACE: <br /> The distance between:the lowest FOR A BUILDlNG ON A SLAB FOUN A710N: <br /> START W�TH proposed floor(of the basemeM or c <br /> space)and the highest point of the roof. START WITH The istance beM�een the top of slab and <br /> If you have a... � 9�Po�nt of the roof. <br /> If yo have a... <br /> • GABLE OR HIPPED ROOF{no + GABLE OR MIPPED ROOF(no <br /> windows): Subtract half the windows): Subfract haif the distance <br /> distance beMreen the highest int betweerethe highest poirrt of the roof <br /> of the roof to the low point of e to the low poiM of the corresponding <br /> SUBTRA ION corresponding gable or hi ed roof SUBTRACTION gable or hipped ronf <br /> (BASED O�N ROOF . GABLE OR HIPPED R F(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract h the ROOF IYPE) windows): Subtract half the tlistance <br /> distance behveen t top of the between the top of 3he highest <br /> highest window a the highest window and the highest point of the <br /> � point of the roo � <br /> • ALL OTHE OOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES(flat, <br /> mansard, ):No subtraction. mansard etc:No subtraction. <br /> ADDITIO Add e distance beiween the top of slab <br /> SUBTRAC�TION Subtract the stance between the (BASED ON and e highest existing grade adjacent to <br /> (BASED ONV EXISTIMG basemenU wl space floor and the EXISTING ' 'the undation. <br /> GRADES)I highest sting grade adjacent to the GRADES <br /> found on OR 10 feet(whichever is less). ECUALS Defi ed bWtding height <br /> EQUALS ed building helght <br /> Shoreland istri MCWD Permit Received Avera e Lakeshore`Setback M ? Bluff <br /> ' G Yes � No � N/A 0 0 No <br /> � Yes No � Yes G No 0 N/A <br /> Permit Number. Setback: <br /> Storrrt ter uality Existing Prop�sed yariance Required C P Required <br /> Ove Distrilct Tier Harcicover Hardcover <br /> , � Yes � No � Yes � No <br /> ' Type(s): T e(s): <br /> Updated: January 2013 <br /> v:\formslplan review checklist2013.docx <br />