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f <br /> ' ` <br /> Plan_Review Checkiist for New $tructures / Additions <br /> Address/ PID/Legal: (�O 1 ►'Y\ 1 VJ�L"-TDNI�r4 I'��bl`l lhvv./JS C�V`1L� <br /> Description of work: _ l—t i2,V (� Y�v,1,� e �2.�,�/��(Z <br /> Septic review by: _ N/1/� Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: / - i�- ?�O� � <br /> Grading review by: Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School ' trict <br /> Zoning: Lot Area: SF/AC Width: D th: <br /> Survey Submitt : � Yes � No Date of Survey: <br /> Pro osed Setbacks. <br /> Front(Lake) ar(Street) ( N S E W ) ( N S E W ) Other Buildings Wetfand <br /> Side Side <br /> Building Defined Height: Building Peak H ght: <br /> FOR A BUILDING WITH A BASEMENT OR CRA L SPACE: F R A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the b ement floor/ START the distance between the slab and the <br /> WITH crawl space floor and the high st roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat ro the dec of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the uppe os roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e r other arch-t e roof <br /> SUBTRACT half the distance between the high t SUBTRACT half the distance between the highest <br /> window and highest roof peak o pitche window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the sement floor/ ADD the distance between the slab and the <br /> crawl space floor and t highest existing highest existing grade within the <br /> grade within the fou tion or 10 feet, foundation <br /> whichever is less. E ALS Defined buildin hei ht <br /> EQUALS Defined buildin ei ht <br /> Lot Coverage: SF % <br /> Shoreland Dis ct MCWD Permit Received Avera e Lake ore Setback Bluff <br /> � Yes � No 0 Yes � No 0 N/A p Yes 0 No � N/A � Yes 0 No <br /> Permit Number: Setback: <br /> Hard ver Zones Existin P�oposed Variance Re uired CUP Re uired <br /> 0-75' � Yes ❑ No Yes 0 No <br /> 75-250' Type�s�: Typ S�: <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): (� C1-� lr <br /> Updated: 07/01/2009 <br /> z:\forms�plan review checklist.docx <br />