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. Plan Review Ch cklist for New Structures / Additions <br /> I � � - <br /> Address/ PID/ Legal: � �� (�- 4 �J� <br /> Description of work: W r'� l � �aJ/�1 �� <br /> Septic review by: Date Approved: ��— �{p-�� <br /> ', Zoning review by: Date Approved: � ' �'{ ' �� <br /> � � <br /> Building review by: � (--�--��M-- Date Approved: � " �`{ � �"��� <br /> Grading review by: ��' � � (, ��i Date Approved: 1 • �"t '� Z <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: �5 ( SF/AC Width: Depth: <br /> Survey Submitted: es 0 No Date of Survey: � •��'(L <br /> Pro osed Setbacks: <br /> Front (L ) Rear(Street) � S E W ) ( N � E W ) Other Buildings Wetland <br /> Side de <br /> � � <br /> Building Defined Height: 'V� Building Peak Height: 1 v� #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 pe,�le,�ie top of WITH roof peak,the top of the cornice of a fla�roof, <br /> the cornice of a flat roof,the�leck 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 r.v6f roof <br /> SUBTRACT half the dista e�"between the highest window and SUBTRACT half the dis�,ar5ce between the highest window <br /> hi hest r er�eak of a itched roof and hi st roof eak of a itched roof <br /> SUBTRACT � the ' ance between the basement floor/crawl ADD the 'stance between the slab and the highest <br /> s ce floor and the highest existing grade within e istin rade within the foundation <br /> the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: N� SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> /' 0 Yes � No ❑ N/A � Yes No <br /> p� Yes ❑ No ❑ Yes � No �A <br /> / Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Require CUP Require <br /> 0-75' ❑ Yes No � Yes No <br /> 75-250' Type(s): Type(s): <br /> ` 250-500' <br /> 500-1000' Zl .�� 2� ,5 g�7a <br /> REMARKS (in-house): _ <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />