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� Plan Review Checklist for New Structures / Additions <br /> Address/PID/LegaL t SSU nt o 2�y /� (Lv,� 2 _ <br /> Description of work: U A � Tl a n� � <br /> Septic review by: C�I Date Approved: <br /> Zoning review by: Date Approved: �'9"�Z.• <br /> Building review by: Date Appraved: 6� y-�i Z <br /> Grading review by: 1 V fr Date Approved: <br /> Zoning File#:'�-` Resolution#: ��� Resolution Date: "��^�� <br /> Zonin District Fire De artment Post O�ce School Distr'rct <br /> Zoning: Lot Area: �_SF/AC Width: �� 5�D� Depth: � � • �' <br /> Survey Submitted: Yes �� � No ate of Survey: �J�Q ��L <br /> Pro osed Setbacks: �V V Vlt�t1,1� �l + <br /> Front e) Rear et) ( N S E W ) ( N S E W � Other Buildings Wetland j <br /> Side Side � <br /> .,q, <br /> Building Defined Height: �'�" Building Peak Height: `—� #of S#ories Ok?: `� YES <br /> FOR A BUILDING WITH A BASEIUFENT 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 of WITH roof peak,the top of the cornice of a flat roof, <br /> the comice ofa flaf roof,the deck lin a the deck line of a man aehi6o�;orthe <br /> mansard roof,or the uppermo . int on a round uppermost poi a round or other arch-type <br /> or other arch- e roof roof <br /> SUBTRACT half the distancg b een the highest window and SUBTRACT h e distance befiween thehighest window <br /> hi hest roof of a itched roof and hi hest roof eak of a itchetl roofi <br /> SUBTRACT the dist between the basement floor/crawl ADD the.distance between the slab and the highest <br /> spa oor and the highest existing grade within existin rade within the fiountlation <br /> t foundation or 10 feet,whichever is fess. EQUALS Defined buildin hei ht <br /> EQUALS efined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Receive Avera e Lakeshore Setback Bluf# <br /> � Yes 0 No N/A , � � 'Yes do <br /> �es C No � Yes No � N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Exis#in Pro osed Variance Re uired CUP Re uire <br /> D-75' ^—"' ----� es � No � Yes No <br /> 75 250' — TYpe�s�� TYPe�s)� <br /> 250-500' �..3 •b'CV 2.� •g -6� I ��..��� � 1 <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:lformsiplan review checklist.docx <br />