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l�L�r� REVIE1dV CFiEC�LIST �OR �IE1IV STR�JCTtJRES / �DDITIONS <br /> Address/Permit Number: ��s� ��&''l�J��% � <br /> Description of v✓ork: _ �"��— ���� � <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approve�: <br /> Building review by: Date l�pproved: <br /> Gradinc� review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC NVidth: Lot Coverage: SF _% <br /> Survey Submitted: �Yes � No Date of Survey: Revised date(?): <br /> Pro osed Setbacks: ' � � `�` � <br /> a Front(Lake) Rear(Street) � � � E W ) ( �! S E � ) Other Buildings Wetland <br /> � Sicle Side <br /> � <br /> Defined Height: Peak Height: FFE: ��E minus 6 feet= (Existing Contour) <br /> '' Perimeter(linear feetj = 50% _ #of Stories Ok? � YES <br /> FOR A BUILDING�NITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A&LAB FOUN�ATION: <br /> START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH The distance between the top oi slab and <br /> If you have a... the highest point of the roof. <br /> If you have a... <br /> a 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 corre5ponding <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 4he between the top of the highest <br /> r� highest window and the highest window and the highest point of the <br /> point of the roof �aaf <br /> ' . ALL OTHER ROOF TYPES(flat, • ALL OTHER RUOF TYPES(flat. <br /> mansard,etc):No subtraction. mansard,etc.No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> X (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> ti EQUALS Defined building height <br /> Shoreland District 11AC1M� I�ermit Receivec� ��era e Lakeshore Setbacl� lVlet? �lu � <br /> �/ � Yes � No N/A � Yes No <br /> � Yes � No � Yes � No �N/R <br /> Permit Number:� Setback: � <br /> Storerewater(�ualit� Existing Proposed �r�riance Required CUE' Required � <br /> Overla Distri�t Tier F9ardcov�r Hardcover � <br /> � Yes No � Yes No <br /> � Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />