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PLAN'RE�f1EW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: -T5� ���(,(�. �� � Permit No.: Z�i✓ � ���5 <br /> Description of work: N�MI SI I�A lX 1"GII�II IV 17U/�X.� Date Rec'd: � - G,J��.� <br /> Septic review by: U 1. Date Approved: 3 5 - �� <br /> Zoning review by: �� � Date Approved: 3 " c,[� ��� <br /> Building review by: �� Date Approved: ��� � " �� <br /> Grading review by: �, -C.= -!"��� �" Date Approved: �i�t��-� �% <br /> Zoning District: - �� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: �Yes � No Date of Survey: ��2�"(J Revised date(?): ` <br /> Proposed Setbacks: <br /> ,-h. <br /> Front(�� Rear(Str t)� � N S E �W'� ( N S �� W ) Other Buildings Wetland <br /> Side Sid� <br /> � � � �� ; , � : <br /> � - <br /> �' � �: � � � ���::._._ <br /> Defined Height: ' � , , � Peak Height: `,� � FFE: � . ' .,, FFE minus 6 feet= (Existing Contour) <br /> �i <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Stories �- <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: ��"� �'� � <br /> The distance between the lowest proposed <br /> START WITH floor(of the basement or crawl space)and <br />, ;;,_� the highest point of the roof. <br /> If you have a... 2"I2,_� <br /> GABLE OR HIPPED ROOF(no <br /> �j (����,,+ • windows): Subtract half the distance <br /> \, .fd'! between the highest point of the roof � i. <br /> F to the low point of the corresponding ����� ` / ! � <br /> * "� SUBTRACTION gable or hipped roof � ��`/� �}+/ �� �!� ���O e/C—� I' <br /> Y ��, i�f V <br /> � ""` (BASED ON . GABLE OR HIPPED ROOF(with , <br /> � ROOF TYPE) windows): Subtract half the distance <br /> between the top of the highest y�� �II �(�r` y�� `� ' �� <br /> , window and the highest point of the ��� «+1J�.•j I i � , <br /> ; �oof --�-� � �— o� �,��d ? �,�' <br /> ' • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. /� �/� / <br />_ . SUE i the � N CXt/� �v V O��"�/' �✓� CJi ` <br /> �� (BA: id the � t !�r <br /> ��� �, � �` EXI; it to the �� �� t � <br /> 1�! � <br /> 1 GW � /} �j ; :ver is less). � � <br /> �(r1�.' „ A EQl <br /> _ �.,� �t��h� a <br /> \.J ,�u�� .,� � �A� ��T �'1�' D� <br /> ��. �� ��/`� � � �U <br />�,� .-�� f1'� ,,/ / � <br /> . �'� � • � <br /> ��>� Shoreland Dis � i� ��'���� �it ���� m 1� i� <br /> Permit Number: �, <br /> � Yes �No <br /> 0 N/A—see attached 3 —� '�5 �,/ <br /> Stormwater Qualit Pro osed • �� �d �((� �/.�'� �//� C <br /> Overlay District y Existi�ng Hardcover Hardcover C �'"i0' ���'"' ' � ���b/ �'Z'�✓ <br /> /oands <br /> � � o <br /> Tier circle one /o and sf � <br /> � <br /> 1 2 3 4 5 � P lA�►� -----"_'_____. <br /> - <br /> Updated: January 2015 � <br /> z:\forms\plan review checklist 2015.docx <br /> _._ __ _ <br />