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PLi4N �EVtEV�J C��CKLI�T F�R I�IEW STRU�TI�f�ES r 14��11'IONS <br /> �: <br /> Add�ress: �'�G° d� � �Q�� i Perrnit fVo.: �� �� <br /> � . �a �� <br /> Description of work: � �� �� ��� `'� Date Rec'd: � <br /> Septic review by: �� Date�pproved: �� <br /> Zoning reviev+r by: Date Approded <br /> '' Building review by: Date Approved: <br /> Grading revi�w by: � , Dat�Approved: ��� <br /> Zoning Distr�ct: ��"t� �oning File#: Reso#: Reso �ate: <br /> Zoning: Lot Area:�� AC �6iclth: Lot Coverage: SF % <br /> = Surve� Submittecl: �es 0 No Date of Survey: �'�'� Revised date(?1: � ' �� '� <br /> � <br /> ; Prap�sec� Settaacies: <br /> Front (Lake) Rear(�treet) f � S E W ) ( N S E W ) OtE�er�uildir�gs Wetland <br /> Sicie Sicle <br /> Defined Height: Peak Neigh (Existing Contour) <br /> b; � Q � <br /> Perimeter(linear feet) = 50% ��D"� �w grade #of Stories <br /> ' - 1 <br /> ; F�R A BiJILDING WITH A BASEMENT OR CRAWL SPi ' NDATION: <br /> The distance between '��I���� The distance between the top of <br /> START WITH floor(of the basement u C stab and the highest point of the <br /> the highest point of the roof. <br /> If you have a... <br /> If you have a._ I . GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPI ` (no windows): Subtract haff <br /> windows): Subtra � C C II��`-;/ the distance between the <br /> between the highe J(�` highest point of the roof to <br /> to the low point of the low point of the <br /> SUBTRACTION gable or hipped ro� ` corresponding gable or <br /> (BASED ON . GABLE OR HIPPE hipped roof <br /> ROOF TYPE) windows): Subtrec r GABLE OR HIPPED ROOF <br /> between the top of � (with windows): Subtract <br /> window and the hig half the distance between <br /> roof 1n' the top of the highest <br /> � ALL OTHER ROOF �//�� //p����n (� `_ window and the highest <br /> mansard,etc):No s ``�M � f��—Y point of the roof <br /> ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance beri (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 EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUAl.S Defined building height <br /> Shoreland�istrict MCVt°D Perrr�it Average Lakeshore Setback �Buff <br /> Niet? <br /> Permit Number: 0 Yes � No /A � Yes o <br /> �Yes � No <br /> N/A—see attached Setback: <br /> Stormwater C�uafity Existing hf�rdcover �roposed <br /> Overlay District (o�o and sfl Harcicover Variance Required CUP Required <br /> Tier circle o�e %and s <br /> 3�,���� �,���� � Yes o � Yes o <br /> 1� 2 3 4 5 ���� S r Type(s): Type(s): <br /> '� ���c� �� <br /> Updated: January 2015 <br /> z:\formslplan review checklist 2015.docx <br /> . , <br /> �..._..__ ,;. ._ _.. . ._:�._ .. .::_., _ _ ; - I_ <br />