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� Plan Review Checklist for New Structures / Additions <br /> �Address/ PID/ Legal: �� � `�7 � �'�' <br /> Description of work: _[Ue(�U �'�l c�-P�"C� <br /> Septic review by: !v�" Date Approved: <br /> Zoning review by: Date Approved: Z7 <br /> Building review by: Date Approved: 1 - �� ZOI ( <br /> Grading review by: l�it �� � Date Approved: � � ��'�J � <br /> Zoning File#: � Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: � (,( �SF/ C L� Width:�(P����I �{����"� Depth: �J � <br /> Survey Submitted: �Yes 0 No Date of Survey: r �-��(p �l(� <br /> Pro osed Setbacks: <br /> Front Lake) Rear Street ( N S E W ( N S �W ) Other Buildings Wetland <br /> Side Side <br /> ���` = I���- fU, � l�. ?� <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 /> SUBTRl�Cy half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> �C'�� 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/cra • ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within � existin rade within the foundation <br /> t e foundation or 10 feet, whichever is less. �? EQUALS Defined buildin hei ht <br /> EQUAL fined buildin hei ht <br /> e� <br /> Lot Cov a . �� �'� SF �� � � % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes ❑ No � N/A � Yes No <br /> Yes 0 No �e�� ,p No 0 N/A <br /> Permit Number: /�� Setback: <br /> Hardcover Zones Existin Proposed Variance Re ui ed CUP Re ir <br /> 0-75' 23� � 23�7 Z% � Yes No 0 Yes No <br /> 75-250' � 9160+-237=93`t�� TYpe�S): TYPe(S): <br /> �G o� Z�f'���D <br /> (�i ..�—� <br /> 7►� <br /> REMARKS (in-ho rl�Go��Y fYD►'V� �-��' 7�D✓�� a 1�Cd � ��'-- 2�U� �,.�v <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />