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r , <br /> ' � • Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legai: b �� NOCtTN f�(ZVt� n(Z, . <br /> Description of work: PoRct� Ar►O Or2.�� ��'�Ulc�'i.n�.�n/7� <br /> Septic review by: �"- Date Approved: <br /> Zoning review by: — Date Approved: <br /> Building review by: Date Approved: f�-Z y- oq <br /> Grading review by: �— Date Approved: <br /> Zoni File#: Resolution#: Resolu�i n Date: <br /> Zo ' District Fire De artment Post Office School District <br /> Zoning: Lo rea: SF/AC Width: Depth: <br /> Survey Submitted: Yes � No Date of Surve . <br /> Pro osed Setbacks: <br /> Front(Lake) Rear( reet) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side ide <br /> Building Defined Height: Buildin eak Height: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the base ent floor/ START the distance between the slab and the <br /> WITH crawl space floor and the highes oof p k, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, eck of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the upper o roof, or the uppermost point on a round or <br /> oint on a round or other arch-t roof other arch-t e roof <br /> SUBTRACT half the distance between the hi est SUBTRACT half the distance between the highest <br /> window and highest roof peak a pitched window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the b sement floor/ D the distance between the slab and the <br /> crawl space floor and the ighest existing highest existing grade within the <br /> grade within the founda on or 10 feet, foundation <br /> whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei t <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Se ack Bluff <br /> � Yes � No � Yes � No 0 N/A p Yes � No p N � Yes � No <br /> Permit Number: Setback: <br /> Hardcover Zone Existin Pro osed Variance Re uired UP Re uired <br /> 0-75' � Yes � No � Yes � No <br /> 75-250' Type(s): Type(s): <br /> 250-50 ' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 07/01/2009 <br /> z:\forms�plan review checklist.docx <br />