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^ '� �^1 ._ ..>., <br /> �� �����,; �,l�~ l �_ � ��',� �!� _Y�_�' l�� �"�-- <br /> � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legai: S,� ���p�,p 2�4� �1��¢ r'�'l <br /> Description of work: (`J l.� �;Cj <br /> Septic review by: e =✓�! Date Approved: <br /> Zoning review by: Date Approved: �� Z� 2U �- � <br /> Building review by: Date Approved: z�Zz- 20� o <br /> Grading review by: Il� Date Approved: <br /> Zoning File#: ���'l�� > Resolution #: Resolution Date: ���� � � <br /> Zonin District Fire Department Post Office School District , <br /> Zoning: Lot Area:-1�� � SF AC Width: �s V fUV� Depth: <br /> � � �� �� <br /> Survey Submitted: es 0 N Date of Survey: Z � <br /> Pro osed S cks: <br /> Fro (Lake) Rear(Street) N S E W ) ( N��S�E W ) Other Buildings Wet{and <br /> ' Side �ide <br /> - � -I-� C UQ � �� <br /> Building Defined Height: r� � <br /> � 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 /> �j(p START WITH the distance between the basement floor/crawl START the distance between the slab and the highest <br /> UZ 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 /> SUB�C� 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, w ic ever is ess. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: ` � �L��r0 SF �`Q o�o <br /> Shoreland District MCWD Permit Received Avera e keshore Setback BI <br /> �Yes ❑ No ❑ N/A ❑ Yes No <br /> es ❑ No Yes No ❑ N/A <br /> Permit Number. �d -�i�� Setback: <br /> GlM VV� — ' ,Y,- ,YW� 2 � <br /> Hardcover Zones Existin Prop sed a ance equired CUP Re u red <br /> 0-75' �-Z� � Yes ❑ No ❑ Yes o <br /> 75-250' ��(o� Ty e ): Type(s): <br /> 250-500' �Qg" j �,V���^� �pi <br /> l.�- I � (iV�� <br /> 500-1000' ' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />