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Plan Review Checklist for New Structures / Additions <br /> Address/PID/ Legal: �" / ( � �,�-�' l""L <� /,c/F= ;j��^':--. <br /> �, !��� 1 6.. �' 1,� :;( � .• , ;-.!� <br /> Description of work: " -�----' <br /> Septic review by: ,";> ��--J�."` Date Approved: <br /> Zoning review by: ��'�� Date Approved: Z� � <br /> Building review by: �---�'� t', v�. Date Approved: l �Z�i -1 G` <br /> Grading review by: J�°��''..X�L�`�u ��vw,�v�sC��! Date Approved: � �J - � �` <br /> Zoning File#: � Resolution#: —�— Resolution Date: --�" <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: � �i 2 SF AC f Width: Depth: <br /> Survey Submitted: �Yes � No Date of Survey: � -" Z-(� - / U , <br /> Pro osed Setbacks: �, ' ; -. -.f-r-� , <br /> - _� <br /> �; �.--�-_.�:; ,. r <br /> Front( ake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> �U <br /> ��1•�5 Build ng Defined Height: ���9�� 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 /> � - 5 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 /> l(� 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 efined buildin hei ht <br /> , ,� �f <br /> Lot Coverage: % s�y SF � % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluf� <br /> 0 Yes 0 No 0 N/A � � 0 Yes No <br /> �J7 �'es ❑ No ❑ Yes 0 No �/A <br /> J Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance R� ui d CUP Re u' <br /> 0-75' 0 Yes No � Yes o <br /> 75-250' Type(s): Type(s): <br /> 2 0-500' -�'-- �ZI 1 � Uv <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />