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I <br /> Plan Review checklist for New Structures Additions <br /> Address/PID 7 Legal: F ho 4 <br /> i <br /> Description of work: <br /> Septic review by: = Date Approved: <br /> Zoning review.by: Date Approved <br /> Building review by: Dane Approved. <br /> Grading review by: Date Approved: " <br /> Zoning File#: Resolution Resolution Date: <br /> Zoning District he De artment ; Post Office` School District, <br /> Zoning: Lot Area: ---s-- SF�f AC Width: 5? Depth: <br /> Survey Submitted: �P4es CINO Date of Survey: <br /> Proposed Setbacks: <br /> Front e) Rear( ) 6e, SE W ) ( Nle <br /> E W ) Other Bulidings Wetland <br /> Side <br /> 11-0 114—P 4 <br /> 4 <br /> Building Defined Height:_ Building Peak Haight: #of Stones Ok?. ES . <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE FOR 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 comice of a flat roof,the deck line of a the deck lime of mansard roof, or the <br /> x mansard roof,or the uppermost point on a round uppermost point on a round or other arch-type <br /> or other arch- a roof roof <br /> SUBTq! C half the distance between the highest window,and SUBTRACT half the distance between the highest window, <br /> e ``�� a <br /> highest roof peak of a pitched roof and highest roof Deak of a pitched roof <br /> SUtTRACT 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 /> 9� the foundation or 10 feet,whichever is less. EQUALS Defined building h"ht <br /> EQUALS fined,buildin hei ht <br /> Lot Cove Pag $F % <br /> Shoreland DiStAct MCWD Permit Received Average Lakesharb Setback Bluff <br /> ® Yes 13 No 0 N/A a Yes No <br /> 0 Yes o " Cl Yes 0 No N/A <br /> Permit Number: Setback: <br /> hardcover Zones Existing Pro ed V riancw R uir 4 CUP Required <br /> 0-75' 0 Yes No es ID No <br /> 75-250' Type(s): TYpe(s): <br /> 250-500' <br /> 500-1000 <br /> REMARKS (in hou.* <br /> Updated: 09/11/2009 <br /> z:>forms\plan review chaddist.docx <br />