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t <br /> . ' -'- Pian- Review Checklist for New Structures / Additions <br /> Address/ P!D/Legal: � `-l3 r �/1 � iL D� <br /> � <br /> Description of work: �( � �C( �' �'�-y �l �7t//�(.( �0 vi <br /> Septic review by: ��v �- Date Approved: ��� '" �C� <br /> Zoning review by: Date Approved: U <br /> Building review by: � Date Approved: �7 � � -�/ � <br /> Grading review by: Date Approved:�� <br /> Zoning File#: ""� Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lot Area: (J, D 5 SF/AC Width: Depth: <br /> Survey Submitted: � Yes ❑ No Date of Survey: ���5� L� <br /> Pro osed Setb s: <br /> Fron (Lake) Rear(Street) ( N S E W ( N S E W ) Other Buildings Wetland <br /> Side Si e <br /> �D � �{U � <br /> Building Defined Height: Building Peak Height: #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 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-t e roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched 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 existin 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: SF % <br /> Shoreland District MCWD r it Received Av a e Lakeshore Setback Bluff . <br /> 0 Yes o � N/A 0 Yes No <br /> Ys � No ONo ON/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance R uired CUP Re ' ed <br /> 0-75' 2, � Yes o � Yes No <br /> 75-250' �t� , � Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:lformslplan review checklist.docx <br />