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• z Plan Review Checklist for New Structures / Additions <br /> Address/ PI D/ Legal: ZC�QS C..�l��A�Z� C �2 C�E <br /> Description ofwork: _ Q�^I-� I�tL.�pp `g <br /> Septic review by: /1/'/I� Date Approved: <br /> Zoning review by: �N//� Date Approved: <br /> Building review by: _ �,��,� Date Approved: f O � 15 -o� <br /> Grading review by: �(/�} Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office Sc ol District <br /> Zoning. Lot Area: SF/AC Width: Depth: <br /> Survey Su itted: � Yes � No Date of Survey: <br /> Pro osed Setb ks: <br /> Front(Lake) Rear(Street) � N Side W , ( N Side W � Other Buildings Wetland <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR AWL SPACE: F A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the b ement flooN crawl START the distance between the slab and the highest <br /> space floor and the highest ro peak,the top of WITH roof peak,the top of the cornice of a flat roof, <br /> the comice of a flat roof,the dec line of a the deck line of a mansard roof,or the <br /> mansard roof,or the uppermost po t on a roun 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 wi 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 fl r/cra ADD the distance between the slab and the highest <br /> space floor and the highest existing rade within existin rade within the foundation <br /> the foundation or 10 feet,whichev r is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MC D Permit Received Avera Lakeshore Setback Bluff <br /> 0 es � No 0 N/A � Yes 0 No <br /> 0 Yes 0 No 0 Yes No � N/A <br /> P rmit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance Re uir CUP Re uired <br /> 0-75' 0 Yes ❑ No 0 Yes � No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />