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Plan Review Checklist for New Structures / Additions <br /> Address/PID/Legal: S$1 N om-n-j 5-'f (2JQ <br /> Description of work: b CA(=A ,sv,.j aA o w— <br /> Septic review by,: N/A Date Approved: <br /> Zoning review by: er44 Date Approved: <br /> Building review by: Date Approved: r- 2- a q <br /> Grading review by: Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office Sc of District <br /> Zoni Lot Area: SF/AC Width: Depth: <br /> Survey S%Se <br /> ed: 0 Yes 0 No Date of Survey: <br /> Pro osedacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings Wetland <br /> Front(Lake)\ Side Side <br /> Building Defined Height: Building Peak ight: <br /> FOR A BUILDING WITH A BASEMEN OR CRAWL SPACE: R A BUILDING ON A SLAB FOUNDATION: <br /> START the distance betty n the basement floor/ START the distance between the slab and the <br /> WITH crawl space floor an the highest roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice o a flat roof, the/ of a flat roof, the deck line of a mansard <br /> line of a mansard roof, o he uppermost roof, or the uppermost point on a round or <br /> point on a round or other a - e roo other arch-type roof <br /> SUBTRACT half the distance between theXighe5K SUBTRACT half the distance between the highest <br /> window and highest roof peako itched window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between tybasent 'i or/ ADD the distance between the slab and the <br /> crawl space floor and tt existi highest existing grade within the <br /> grade within the foundfeet, foundation <br /> whichever is less. EQUALS Defined building height <br /> EQUALS Defined building heigKt <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera a Lakeshore Setback Bluff <br /> 0 Yes 0 No/ 0 Yes , 0 No 0 N/A 0 Yes O No 0 N/A 0 Yes 0 No <br /> Permit Number: Setback: <br /> Hardcover Zo s Existing Proposed Variance Re fired CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75-2 Type(s): Type(s): <br /> 250- 00' <br /> 500-1 00 <br /> REMARKS (in-house): \ <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />