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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: - - �::.`���-�, "•�' �.. �..� "��lt C� r,,� ..�� � ._ <br /> . <br /> •Description of work: _.i ��-r'�-�n � '-� - �� -ti� � <br /> • .� �' i , 4�t"�C) �( ✓ v` i.��� <br /> �'i�N!� k.. G w�'r�C9�-• v�.�c��-� �i.;t��v' �,-c Y�G L- �'c�i�-,� C�(o l S��'.G,�r S <br /> Septic review by: /�� r�' Date Approved: �2 ` �7�/�� <br /> Zoning review by: ' Date Approved: ��Z.-��l(.j <br /> Building review by: Date Approved: �T � 1�+ -J � <br /> Grading review by: /��� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: Cd'Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: �o c�j�-r�r� � <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #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 <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 0 No N/A / 0 Yes ❑ No <br /> ❑ Yes ❑ No �'Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Vari ce Required CUP Re uired <br /> 0-75' G es � No ❑ Yes o <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKSLn-house): � �' � ^ �� �- <br /> 'S e�t`� �� - _' � �— I S l S�C� Cl c,c��i� � <br /> Ps c�c�c > <br /> Updated: 09/11/2009 y �j _� �C� ���� <br /> z:\forms\plan review checklist.docx � ll <br /> �t �� � � . <br /> � <br />