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� <br /> PLi4N REVI�V1l CHE�B�(�IST �'OR IVEVU �TRtJCTUi�ES / 14DDITIONS <br /> � ���' Address:_ � �' � • �� ' Permit �lo.: ' � <br /> ���� � �� <br /> Description of work: `� � � � Date Rec'd: � <br /> �e t�c review b 4 � <br /> P Y� � Date Approved: <br /> �oning review by: �ate Approved: '� /� f�°' <br /> Buifding reviewo by: � �-- Date Approved: ��e ' ���� <br /> Grading reviewo by: Date Approved: � �� �� <br /> Zoning District: � � Zoning File#: Reso#: Reso Date: � <br /> a <br /> Zoning: Lot Area: �q� SF/AC Width: Lot Coverage: SF `�' % <br /> Survey Submitteci: �Yes � No Date of Survey: �' Revised date(?): �— <br /> 4' <br /> Proposed Setbacks: <br /> Front (��I�e}� Rear(Sfi��} ' N � � � ) ( N S E W ) Other Buildings V1letland <br /> Side ide <br /> � �` `� � � � Z � �- �- <br /> 1 � a <br /> ;r Defined Height: � �, Peak Height: �� � FFE: �3�..�FFE minus 6 feet= G�� e� (Existing Contour <br /> , P a <br /> Perimeter(linear feet)= � a 50% = �� ��� L.F. below grade #of Stories �i <br /> �� PC� ��!' A°t� <br /> FOR A BUILDING WITH A,BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATlON: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> the highest point of the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPEC OF <br /> • GABLE OR HIPPE OOF(no (no windows): S ract half <br /> windows): Sub ct half the distance the distance b een the <br /> between th ighest point of the roof highest poi of the roof to <br /> to the I point of the corresponding <br /> � SUBTRACTION ga or hipped roof the low int of the <br /> corr onding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION ed roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF I <br /> i between the top of the highest ROOF TYPE) (with windows): Subtract <br /> %� window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> mansard,etc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASED ON basement/crawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQllALS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District fV�CWD F vrmit ��erage Lakeshore Setback B�u� <br /> MBet? <br /> �Yes ❑ No Permit Number: 0 Yes � No N/A Q Yes No <br /> ❑ N/A—see attached Setback: <br /> "` Stormwater QuaEity Existing Hardcover Proposed <br /> Overlay District (%and sfl Hardcover Variance Required CUP Required <br /> Tier(circle one %and s <br /> �� � C] Yes No � Yes No <br /> 1 2 3 4 , 5 � � Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />