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� P�.AI� REVIEV1l C�IECKL�ST F06� I�EIIV STRUCTURES / I�DDITIONS <br /> Address: �Q�� c��Q�/� PermitNa.: �s1�'" � <br /> Description of work: �vV E � l�- �( � t`���"' Date Rec'd: _ ��`T ' <br /> :,;�f- �� QL o <br /> Septic review by: _��,�(� `F- ��i�t Date Approved: -�"'"�' <br /> Zoning review by: 1�11� '\ Date Approved: � `� <br /> Building review by: � Date Approved: f <br /> Grading review by: � ,�'`-ai� Date Approved:_ ��,�e?`��i r�`�`� ��.�'��.,; ,�,.,e <br /> � �� <br /> Zoning District: — � Zc�ning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: �� S �'AC Width: Lot Coverage: SF % <br /> Survey Submitted: Yes � No Da�e of Survey: �2-��f� Revised date(?): <br /> Proposed Setbacks: <br /> ��� <br /> Fr t(Lake) �(Street) " � � S E �1�� ( I� '�ss' E V1l ) Other�uildings Wetland <br /> Side �ide <br /> i � � �, , <br /> , , i, <br /> � :t ��s��.: ,� ;, <br /> Defined Height: �• � Peak tieight: FFE: �--�� FFE minus 6 feet= '';.1 r <br /> � ,_(Existing Contour <br /> s. Perimeter(linear feet) _ _50% = L.F. below grade #of Stories �- <br /> � <br /> FOR A:BUILDIkG WITH A BASEMEIJT OR CFtAMIL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest propose�` <br /> -� START W ITH floor(of the basement or crawl space)anc <br /> _- the highest point of the roof. <br /> � If you have a... ��@�� � <br /> , %,i • GABLE OR HIPPED ROOF(no �� �V <br /> , �� ( windo�Ns): Subtract half the distance ����� �� � n�n�� � ���r fl / <br /> ' between the highest point of the root � V U �� <br /> . � .; to the low point of the corresponding <br /> � SUBTRACTION gable or hipped roof � ��� ��� ��-+ � <br /> (BASED ON . GABLE_OR HIPPED ROOF(with ` <br /> ROOF TYPE) windows): Subtract half the distance ,f i <br /> between the top of the highest �, 7 / /r P 1�f1 J� �(�'�— �%� i <br /> window and the highest point of the �`��k�� Vl�.!�/ V� L <br /> i <br /> 5: roof � <br /> c ALL OTHER ROOF TYPES(flat, � � w�f <br /> mansard,etc):No subtraction. � <br /> �UBTRACTION Subtract the distapce between the � C� �L �� / <br /> � • BASED ON basemenUcrawl s ace floor and the �••� 1 w ' <br /> � -� EXISTING highest existing grade adjacenl to the <br /> � GRADES) foundation OR 10 feet(whichever is less). <br /> EQUALS Defined building height <br /> I � ' .��v._.._ <br /> - �� / EQUALS Defined building height <br /> 4 <br /> i �e � �,o <br /> �.���' �.= �4, � �;��_: <br /> Shorelanci Qistric4 NiCIl�D Permit .�� g`°� �Average Lakeshore Set�ack �luff <br /> I�Eet? <br /> � �es � No Permit Number: E�- �(� Yes � No � N/A 0 Yes o <br /> � N/A-see attached Setback: <br /> Stormwater Quality �xistin� Hardcover �'roposed <br /> Qverlay�istrict o �iardcover Variance Required CUP Required <br /> Tier circle one (�o and s� �/a and s <br /> I�• �� � Yes No � Yes o <br /> 1 2 3 4 5 ���-i�-� Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> at< <br /> �'>:, .., . .. , . ,. :, . ,; .- <br /> �'.�_�"" � . ; �. -... .,, .re.��._u.,• �., �„e„r�� : #- � �'e�:�t. ..,: �,�''�'.'--- <br /> �. . ... _� . '�& S�` 'd��srr�xn��,,,,."'�Y+ � 3,c�7.s v . . .. ,.,. . .. . . . _ . <br />