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� Plan Review Checkiist for New Structures / Additions <br /> Address/PID/ Legal: � g �b L • �� f� � T��f� /� <br /> Description of work: �� S'}"� � � '� ��/I�tv �1,Q � <br /> Septic review by: L-`� Date Approved: � � � �" � � <br /> Zoning<review by: /� a Date Approved: <br /> Buildin review b : 1�� Date A �� '��' <br /> 9 Y Ppraved• �S ' <br /> �rading reviewby: /V� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire`De artment Post O�ce School District <br /> Zoning: t Area: SF/AC Width: Depth: <br /> Survey Subrnitted: D Yes 0�lo Date of Survey: <br /> Pro osed`Setbacks: : ' <br /> front(Lake) Rear( eet) ( N S E 'W ) ( N S ' W ) Other Buildings Wetland �'� <br /> Side Si : : <br /> Building Defined Height: Building Reak Hei t: #of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH ABASEMENTOR CRAWL SPAC . FOR A BUILDING ON A SLAB FOUNDATIOH: <br /> START WiTH the distance between the baserhent floo rawl START the distance between the slab and the highest <br /> space floor and-She highest roof peak,the t o WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the de�k line of a the deck line of a mansard roof,or the <br /> mansard roof,or the uppermost point on a r un uppermost point on a round or other arch-type <br /> or other arch= e roof roof <br /> SUBTRACT fialf the distance between the highest w' dow and SUBTRACT haff the distance between the highest vVindow <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itchetl roof <br /> SUBTRACT the distance between the baser�en ood crawl A the.distance between the slab and the highest <br /> space floor and the highest existi grade within existin rade within the foundation` <br /> the foundation or 10 feet,whic ver is less. EQUAL Defined buildin hei"ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: 5� % <br /> Shoreland'District WD Permit i�eceived Av�era e-Lakeshore S ack Bluff- <br /> Yes � No � N/A � Yes � No <br /> � Yes � No � Yes � No D N/A <br /> Permit Number: etback: <br /> Hardcover Z�nes Existin Pro osed Variance Re uired CU e uired <br /> 0-75' 0 Yes � No 0 Yes � No <br /> 75-250' TYPe(S): Type�s): <br /> 250-5 ' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/17/2009 <br /> . z:\forms�plan review checklist.docx <br />