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�L�N REVtEI�f C[�EC�(LIS� FOR IVEW STl��CTUR�� / ��DI�tO�i� <br /> Address: ���� ��r � �� Permit No.: Q�� ' � � <br /> �escription of work: � Date Rec'd: � � �� � �� <br /> Septic review by: , � Date Approved: <br /> Zoning re�riew by: Date/�pproved: � Z� ° �� <br /> �uilding review by: Date Approved: � � �� '�-�c5 <br /> �rading review by: � � � Date Ap�roved: ``�'' ��' �� ��`�'''� <br /> Zoning �istrict: � Zoning File#R. Reso#: Reso Date: <br /> ' ZonEng: Lot Area: SF/AC Vilicf��: Lot C�verage: �'S�0 i SF I�•�5 ^% <br /> Survey Submitted: :�Yes � No Date of Survey: � •�° � Revise� date(?): <br /> Pro osed Setbacks: <br /> F�(Lake� �(Street) ( N S E UV } ( I� S; E �' W } Other Buildie�gs 1l�etland <br /> Side � Sid� � �„Q <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existinc� Contour) <br /> Peritneter(linear ge�t) = 5Q% _ _�L.F. beiow grac6e #of Storfes � <br /> FOR A BUILDIWG WITH A BASEMENT OR CRla1ML SPACE: FOR A BUILDING ON A SLAB FOUNDATIQN: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl spacel 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 HIPPED ROOF <br /> • GABLE OR FiIFPED ROOF(no (no windows): Subtract half <br /> 1 windows): Subtract half the distance the distance between tne <br /> t between the highest point of the roof � highest point of the roof to <br /> to the low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF <br /> 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, <br /> window a�d the highest <br /> point of the roof <br /> mansard,etc):No subtraction. ` . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc}:No <br /> (BASED ON basemenUcrawl 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 /> EQUALS Defined building height e � EXISTWG grade adjacent to the foundation. <br /> GRADES <br /> , EQUALS Defi�ed buildirrg height <br /> Shoreland District MCW[� Perrsiit Average Lakeshore Setback g{uff <br /> A6et? <br /> Yes p �o Permit Number: ����� Yes � No 0 N/A � Yes No <br /> 0 N/A—see attached Setback: <br /> Stormwater f�uality Existing Hardcover �ropo�ed <br /> Overiay District (%and sfl �ardcover Var6ance Required CUP Required <br /> Tier circle one %and s <br /> 1�0�S � Yes No � Yes No <br /> � 1 2 3 4 5 � �Z.���v Type(s): Type(s): <br /> Updateci: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> s .;.�_, ...:-:,., ....N... , . . ._.v. .._ ... �... ..: .. .__... _ .._. . . <br /> _ _ , _ � <br />