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� , PLi4N RE�/I�1l1� �FIECF�LIST �OR NElnl STRUCTURES / /4D�6TIOIV� <br /> � Address/Permit Number: ���7� �+'�'��� <br /> Description of work: � D�,���`� � (� -� Z I�- �� <br /> s <br /> a QYePJ�-- <br /> Septic review by: ,�.d�/� Date Approded: <br /> Zoning re�eiew by: � Date Rpproved: �� Z� � <br /> Building review by: Date Approveci: G-�Z �f`�' <br /> Grading reviewr by: ��� Date Approveci: <br /> Zoning District: Zoning File#: Reso#: Reso Da4e: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> ' Survey Submitted: Yes ❑ fVo Date of Survey: � 'Q ��� Revised date(?): <br /> Proposed Setbacks: <br /> _' F t(Lake) Rear(Street� � � t� ) E IM ) � RE S E � } Other Buildings Vlletland <br /> �'Side Side <br /> �� �§'� �� <br /> � Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> 4. <br /> Perimeter(linear feet) = 50% _ #�f Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING Old A SLAB FOUND,4TION: <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 of slab and <br /> y 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): Sub4ract half the distance <br /> distance behveen the highest poi between the ighest point of the roof <br /> of the roof to the low point e to the point of the corresponding <br /> SUBTRACTION corresponding gabl ipped roof SUBTRACTION e or hipped roof <br /> (BASED ON ROOF . GABLE O PED ROOF(with (BASED ON GABLE OR HIPPED ROOF(with <br /> TYPE� wind Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> ance 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(flat, mansard,etc):No subtraction. <br /> mansard,etc):No subtraction. DDITION Add the distance between the top of slab <br /> SUBT TION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BA 0 ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> DES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQURLS Defined building height <br /> Shoreland �istrict MICIMD �ermit ReceQved e�vera e �alceshore Setback P�Ae�? Blaaf� <br /> � Yes � No � N/A � Yes No <br /> Yes � No 0 Yes � No �/A <br /> Permit Number: �etback: <br /> Stormwater Quality Existing Proposed �ariance Requirec� CUP Required <br /> Overla District Tier l�ardcav�r Flard�over <br /> t (�j y(�S� (pa�(,�;� � Yes o � Yes No <br /> ����� ZC�.L� � TYPe�S)� TYpe(s)� <br /> � Updated: January 2013 <br /> v:\lorms\plan review checklist 2013.docx <br /> }�.. ::.. , . >. .: _ _ . _. ., _,_: .__� _ _ , .. . . .: . „_ <br />