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Plan Review Checklist for New Structures / Additions <br /> Address/PID/ Legal: k3SO Q(L rs. 0 O6IC5 rβœ“iC <br /> Description of work: S{-i-is--/, <br /> Septic review by: /v4 Date Approved: <br /> Zoning review by: _ 4/ / Date Approved: S- -/D <br /> Building review by: ilff, Date Approved: 6-- /β€” /9 <br /> Grading review by: Date Approved: β€” <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire:Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: ❑ Yes 0 NO Date of Survey: <br /> Proposed Setbacks: <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?: 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SFFACE: 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-type roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> highest roof peak of a pitched roof and highest roof peak of a pitched 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 existing grade within the foundation <br /> the foundation or 10 feet, whichever is less. EQUALS Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 Yes 0 No 0 Yes 0 No 0 N/A <br /> Permit Number Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): P )( c_,e.405' .5'3,4C_IC iliectU r/(." %7r <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />