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. �'LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> AddresslPermitNumber: Z6�� I�1�1�-'��^�`� � <br /> Description of work: �✓�� IL,�'�-�9,0-r�c-- <br /> Septic review by: /`�l/1 Date Approved: <br /> Zoning review by: �� Date Approved: <br /> Building review by: Date Approved: l� 3����1 <br /> Grading review by: �/� Date Approved: <br /> Zon' District: Zoning File#: Reso#: Reso Date: <br /> Zoning: L Area: SF/AC Width: Lot Coverage: SF °/ <br /> Survey Submi d: 0 Yes 0 No Date of Survey: Revised date ? : <br /> � <br /> Proposed Setbacks. <br /> Front(Lake) Re (Street) ( N S E W ) ( N S E W ) Other Building Wetland <br /> Side Side <br /> Defined Height: Peak eight: FFE: FFE minus 6 fe = (Existing Contour) <br /> Perimeter(linear feet)= 50 = #of Stories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUIL G ON A SLAB FOUNDATION: <br /> START WITH proposed Floor(of the basement or cr I <br /> space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES at, mansard,etc:No subtraction. <br /> mansard,etc):No subtra on. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance betw n the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space fl r and the EXISTING the foundation. <br /> GRADES) highest existing grade djacent to the GRADES <br /> foundation OR 10 f (whichever is less). EQUALS D med building height <br /> EQUALS Defined buildi height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> � Yes 0 No 0 N/A � Yes � No <br /> 0 Yes � 0 Yes 0 No � N/A <br /> Permit Number: Setback: <br /> Stormwater uality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> 0 Yes 0 No � Yes 0 No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />