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P1an Review Checkfist for New Structures / Additions <br /> A�dress/PID/Legal: Z(Q�d I�V 0(L"'�-� S(�.�,(�,��' � (�„ <br /> Description of work: 1'V�� tp a�{JL�"� (�0�.� W�c.-("�'� <br /> . <br /> Septic review by: fl/�i4 Date Approved: <br /> Zoning review by: � Date Approved: <br /> Building review by: Date Approved: �—3 —?� 1 Z <br /> Grading review by: Date Approved: <br /> Z ning Fite#: Resolution#: Resolution Date: <br /> onin District Fire De artment Post Office Scfio istric# <br /> .Zoning: Lot Area SF/AC Width: pth: <br /> Survey Submitted: �Yes � No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) R r{Street) ( N S E W ) ( N S E 1N ) ther Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of St�ries Ok�: � "YE5 <br /> FOR A'BUILDING 1MTH A BASEMENT OR CRAWL PACE: F A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basem t flooN crawl START the distance between the slab and the highest <br /> space floor and the highest roof pe thetop of WITH roof peak,the top of the�cornice of a flat roof, <br /> the cornice of a'flat roof,the deck line a the deck line of a mansard roof,orthe <br /> mansard roof,or the uppermost point on ro uppermost point on a round or other arch:type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance:belween the highest wi ow d SUBTRAGT half the distance between the highest window <br /> hi hest roofi eak of a itched roof and hi hest roof eak of a: itched roof <br /> SUBTRACT the distance between#he basement ooN crawl ADD the distance between the slab and the fiighest <br /> space"floor and the highest existi grade within existin rade within the foundation <br /> thefoundation or 10 feet,whic ver is`less. QUALS Defined buildin "hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland Dist�ict ' CWD Permit Received Avera e Lak hore Setback Blu#f <br /> Yes 0 No 0 N/A � Yes O No <br /> � Yes � No � Yes � No O N/A <br /> Permit Number. Setback: <br /> Hardcover Zon Existin Pro osed Variance Re uired CIiP Re uired <br /> 0-7�' � Yes � No Yes � :No <br /> 75-2 ' TYPe(S): Type( • <br /> 2 -500' <br /> 00-1000' <br /> RE ARKS (in-house): __ /V� C/'��'l/�(�� � <br /> Updated: D9/11/2009 <br /> z:\formslplan review checklist.doac <br />