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Plan Review Checklist for New Structures / Additions <br /> � � � <br /> Ad�ress/ PID/ Legal: _ �� /�� '��� 1Q ��� <br /> Description of work: <br /> Sepfic review by: Date Approved:_ �. / <br /> Zoning review by: �J" Date Approved: (, <br /> Building review by: Date Approved: � ' 7 - ► v <br /> Grading review by: GU c Date Approved: � � � <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> � <br /> Zoning: Lot Area: l,Q, �p SF/AC Width: Depth: <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: �(�,�� �,C ( {�e�� �v � - � <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other ildings etland <br /> Side Side <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 �I <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 i <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 o�o <br /> � Shoreland District MCWD Permit Received ! Avera e Lakeshore Setback g��ff i <br /> � 0 Yes ❑ No ❑ N/A � <br /> � � ❑ Yes Q No � <br /> � ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones i Existin Proposed Variance Required CUP Required <br /> 0-75' ❑ Yes ❑ No ❑ Yes ❑ No <br /> 75-250' Type(s): ' Type(s): <br /> 250-500' I <br /> 500-1000' I <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />