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Plan Review Checklist for- New Structures / Additions <br /> Address/PID/Legal: 42 Co V 1 � T3 e-AC-4 rZ 4 <br /> Description of work: 7 _< _ /4, 0,1,� Pok--nocj (5+ 6AAA6e <br /> Septic review by: Date Approved: i 1— O <br /> Zoning review by: -U. f `. Date Approved: 1 1, 1 'Z-1D <br /> Building review by: Date Approved: l 1 - 1'L-ID <br /> Grading review by: 1 Date Approved: <br /> Z ing File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitte ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setbacks: <br /> Front(Lake) R r(Street) ( N S E W ) ( N S W ) Other Buildings Wetland <br /> Side Si e <br /> Building Defined Height: Building Peak He' ht: #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL CE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basemen oor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak, 9,top f 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 ro d uppermost point on a round or other arch-type <br /> or other arch-type roof roof <br /> SUBTRACT half the distance between the highes 'ndow and SUBTRACT half the distance between the highest window— <br /> highest roof eak of a pitched roof and highest roof peak of a pitched roof <br /> SUBTRACT the distance between the basem t floor/crawl %EQLS <br /> the distance between the slab and the highest <br /> space floor and the highest exi ing grade within existingrade within the foundation <br /> the foundation or 10 feet,whi ever is less. Defined building height— <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District CWD Permit Received Average Lakesh a Setback Bluff <br /> Yes ❑ No ❑ N/A 13 Yes 13 No <br /> ❑ Yes ❑ No ❑ Yes 13 No N/A <br /> Permit Number: Setback: <br /> Hardcover one Existing Propose— Variance Required CUP Required <br /> 0-75' ❑ Yes ❑ No Yes ❑ No <br /> 75-25 ' Type(s): Type(s). <br /> 250 00' <br /> 0-1000' <br /> REMARKS (in-house):_ /Vo Chsv&tr� <br /> Updated: 09/11/2009 <br /> z:lforrnslplan review checklist.docx <br />