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' Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: � �� � � ��-i� l i `( /�U� <br /> <�v���:� � k c�ir.cl< <�;..-rr ��v�ct.� r��t c �� �--, <br /> Description of work: � c�� � �L F�-�ti�i �l� ���, ; <<-� t-� � �—� ;,•v�� � <br /> Septic review by: � /� Date Approved: � � - � ,.Sj-Q� <br /> � , � �.' <br /> Zoning review by: Date Approved: (,) �- ( <br /> Building review by: � � Date Approved: � i C� � �'1' <br /> Grading review by: f�f�l� Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area; �=. ' � 1 SF/ACJ Width: �--' Depth: <br /> ti�+'��1 V c �l_;c-� c;�:�i;; <br /> Survey Submitted: 0 Yes �o _ Date of Survey: �;�� �( G°?"� '�, <br /> Pro osed Setbacks: �� ``"yi ����'— �� �� � `''� <br /> Front(Lake) Rear(Street) ( � S E W ) ( N S E W ) Other Buildings Wetland <br /> ��G ��'r �+r•� Side Side <br /> (� ��f�� 1�� �v�vt C� ,v 'C � `-1` �>`, � t�f � �; �'t- �L <br /> ti���:, .. <br /> Building Defined Height: Building Peak Height: ' "` � #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> 0 Yes � No /A 0 Yes CY�Io <br /> �es ❑ No 0 Yes ❑ No Ca''�V/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' �::,�:� ❑ Yes � No ❑ Yes 0 No <br /> � 75-250' Type(s): Type(s): <br /> 250-500' �'� �-'1 <br /> 500-1000' <br /> EMARKS (in-house): 'Y�1 ��'� �� "�C�Uf�I�t�.:' `�zr � C,�� J�y'' �� c � �'���� <br /> , <br /> � �-� ���^ ���' � �1�.,� � S� � � 5�� � t�r�� �����- � �� ��(��....� <br /> Updated: 09/11/2009 I <br /> z:\forms�plan review checklist.docx �� �'�'�`���Y��`� t �} <br />