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� � � lv — GG2�� <br /> Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: f `��j �Z� �� � �y� � <br /> � ��-a c,� <br /> Description of work: _ A�?F,�/('A � 4C('�SS���Q., P�J,�, dec�� � '�� Se' <br /> Septic review by: Date Approved: s�3- I p <br /> Zoning review by: �/ Date Approved: S ' _] —�� <br /> � � 1 <br /> Building review by: �����,�,� Date Approved: � - I l7 1 (;,� <br /> Gr a d i n g r e v i e w b y: _ " /l��; � Date A roved: <br /> pp <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> LR — � �3 ; <br /> Zoning: Lot Area: 2�� � 23 �/AC Width: 1 Z`f• 7 .� Depth: ��'1 �! , h� <br /> Survey Submitted: GY�s ❑ No Date of Survey: 20G-7 <br /> Pro osed Setbacks: gSb�� �� h�S-¢-� <br /> Front <br /> f�akej Rear(S#�eet-r- ( N E W ) � � S E W <br /> 1 Other Buildings Wetland <br /> Side Side <br /> `t'• Z �A 2 T ' /� q i'l ,h j'I!� <br /> Building Defined Height:_�� Building Peak Height:_ i�! /�r # 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 i <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 <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 <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 I <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet, whichever is less. i EQUALS � Defined buildin hei ht , <br /> EQUALS Defined buildin hei ht - <br /> Lot Coverage: gF o�o ¢-��n5 �^�' 8•�f�l <br /> Gi'�t c/� /�,u� oy�roy naf' <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback g��ff t� i <br /> � / � ❑ Yes � No N/A ❑ Yes No <br /> 4YYes ❑ No ❑ Yes ❑ No �%A <br /> � Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Re uire CUP Required <br /> 0-75' � -- ❑ Yes No � ❑ Yes o <br /> 75-250' ^ -- Type(s): TyPe�s�: <br /> 250-500' ^ ---. <br /> �oo-�000� 2.2 •?� 2 � `1` �� <br /> REMARKS (in-house): �.�i � !!�yjC ►''UnC,�'1 ✓►1�.vr f- j -�-c� ��yi � � �y-Ql <br /> _ �Il�e�' b-; �� �- (�t v h ��� <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />