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�L�4N RE�/IEUV CHEC�LIS� FOR I��VV�' ��'�U�1"�J��S / ADD[TIONS <br /> �►cldresslPermit Number: ��`�� ��r`�����+i� ��� Q�€���,�� <br /> Description of wark: t�� �`m- �'�, �y ����1c�!-��:-�= ����`�`z�; <br /> Septic re�riew by: �' y�� Date Approved: <br /> Tonin revieve b `� '�`�' <br /> 9 Y� ____,�eO Qafe Approved: <br /> Buiiding review by: '� ^'��°� Date R,pproved: ��� �� T �`� <br /> Grading review by: �' �� Date Approved: <br /> Zon�g District: Zoning File�: I�eso#: Reso Date: <br /> Zoning: ot Area: SF/AC Width: Lot Coverage: SF �/o�� <br /> Sunrey Sub itted: ❑ Yes ❑ No Date o�Survey: Revised date ? : � <br /> Pro osed Setb ks: <br /> Front(Lake) l�eae(Street) ( N S E W ) ( f� S E UV ) Other Buildi s Wetiand <br /> Sic�e Side <br /> Defined Height: eak Height: FFE: FFE minus 6 ee�_ (Existing Contour) <br /> I�erimeter(linear feet) _ �50% _ #of Stories Ok? 0 YES <br /> "i <br /> FOR A BUILDING WiTH A BASEMENT OR CRAWL S CE: � <br /> The distance between the lo st FOR/4 ILDING ON A SLAB FOUNDATIOId: <br /> START WITH proposed floor(of the baseme r crawl <br /> � space)and the highest point of th�oof. START WITH The distance between the top of slab and <br /> t If you have a... the highest point of the roof. <br /> If you have a... <br /> • �ABLE OR HIPPED ROOF(no a 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 corresponding <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 I <br /> NPE� windows): Subtrect half the I ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of thy� between the top of the highest <br /> highest window and the higt�st � window and the highest point of the <br /> point of the roof I roof <br /> o ALL OTHER ROOF T?�PES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc) No btractior.. mansard,etc:No subtraction. <br /> ADDITI Add the distance between the top of slab <br /> Subtract the distance, etween the g g grade adjacent to <br /> SUBTRACTION (BASED O and the hi hest existin <br /> (BASED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation <br /> GRADES) highest existing�,ade adjacent to the I GRADES �� <br /> foundation O 0 feet(whichever is Iess). EQUALS Defined building heigh4 <br /> EQUALS Deflned b�iiding height <br /> *: j �; <br /> � <br /> �f�oreland �is�rict M�V1l� Permit ideceived Avera e Lakeshore Setback Met? BlufF <br /> � Q Yes � No E� N/A � Ye h� No <br /> � Yes � fy� � Yes � No � P�/A <br /> � �� Permit Number: Setback: <br /> Stormwater,Quality Existing Proposed �ariance Required CU� Required <br /> Overfa D'�tri��Tier Hardcover Hardcover <br /> � Yes � No L� Yes � !�o <br /> � �YPe(S): Type(s): <br /> Updated: January 2013 , F, <br /> v:\forms�plan review checklist 2013.docx ��' '�- ����`�1'� <br /> 9' <br /> , <br /> , ,. <br /> _ _ _ . _ , E. . . . , k.. ., ,.,. ,,... ;. _, .;.;...� ,b..,., ._ . .:.:, . . x , _ ._.. <br />