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4 <br /> 4 Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: 3 Z.�� I`�Gt/Tri ��(�� �-�YIII� <br /> Description of work: (' ('M�'IY(/�' 1Y1 f(�c�C'�(V� ��� (pCQ�.-�Cj �/3�.�,g �( �{�� <br /> Septic review by: _ /V/� Date Approved: Z `�'`� <br /> Zoning review by: e- Date Approved: � ' 3`�(� <br /> Building review by: Date Approved: ,h ' 3'/U <br /> Grading review by: Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> L2 - ( f3 <br /> Zoning: Lot Area: � — SF/AC Width: �P C�� Depth: S 2 G � <br /> Survey Submitted: Yes 0 No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S �W ) ( N S E � Other Buildings Wetland <br /> Side Side <br /> s ' a-(h�c�.�� (�-� � O ` Z 2 '� <br /> �� �aQ t�t��� ✓la nh� <br /> Building Defined Height: � lL Building Peak Height: # of Stories Ok?: 0 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 <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 <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 % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes � No /A � � Yes ❑ No <br /> es � No �'Yes ❑ No � N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' � Yes ❑ No 0 Yes 0 No <br /> 75-250' ��v� Type(s): Type(s): <br /> 250-500' <br /> 500-1000' ' <br /> REMARKS (in-house): �. �f.. Vv� c^, : �pC2 C c.v�s �c�a.v <br /> s ��1.�r�,l v��- �- G r�cle �.� d�,�.�. c.. vuh�..� ►� �..� <br /> Updated: 09/11/2009 ��Y V�� �� �V�I���� <br /> z:\forms\plan review checklist.docx <br />