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� � Plan Review Checklist for New Structures / Additions <br /> �_ <br /> Address/ PID/ Legal: ��Z�� �?,c..{ `�'�yE� �'; �� C, � ��t,,�� <br /> Description of work: � X ' � .���� d / �I� 1�1 �� C.iJ S-� ` ic..�..�r� Ct�� � ,��.;,.-{ <br /> T <br /> Septic review by: /�-� �(/� : Date Approved: <br /> Zoning review by: �� Date Approved: i ��� ��� <br /> Building review by: Date Approved: i Z—(� ucl <br /> Grading review by: d�(f� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning:���Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: �Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(�L.a.ks�j Rear.tGt�rgg�l_ (� S E W ) ( N � E W ) pther Buildings Wetland <br /> Side Side <br /> �L��1�vttl �lc�%SQi �J �p ?_ Z' (o� ' '� ' ' w5� t-1 S <br /> ����' dec � <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 betv✓een 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 /> � ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes C�7�No ❑ Yes ❑ No ❑ N/A <br /> �pcz;n" � �Jvr�rh /� Permit Number: Setback: <br /> C"YSG►a/ — ��I rn��cs � � „ C , _ ►1�a.�'_ n lvo;� /}�.r.�- <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): �l .-�'TSr �I �� �- � � � , �, ,� <br /> /' � _- �._`• . _ � <br /> Updated: 09/11/2009 ! <br /> z:\forms\plan review checklist.docx L � �Q a.��,1 �,���1�..�., `�'�Ci. <br /> � <br />