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;: <br /> I�LAN REVIEW Ct�EC�L�ST FOR NEW STRUCTU�ES / 14DD6TIONS <br /> ; <br /> AddresslPermit Number: � � ��6�-�5 1�p �N i ��� <br /> Description of work: /Vf��`�.6� ��� � I ��'���'�a�'��,- <br /> �'� <br /> Septic review by: ,�/� Date Approved: <br /> Zoning review by: i°� Date Approved: <br /> Building review by: � Date Approved: �—� 6 �t`'� <br /> Grading review by: �/� Date Approved: <br /> oning District: Zoning File#: Reso#: Reso Date: <br /> 7; <br /> Zoni : Lot Area: SF/AC VVidth: Lot Coverage: _% <br /> Survey bmitted: � Yes � No Date of Survey: Revised te ? : <br /> �> Pro osed tbacks• <br /> Front(Lake Rear(Street) l � � E W ) ( t� S E 1ft� ) Other uildings 11Vetland <br /> Side �ide <br /> Defined Height: Peak Height: FFE: FFE " us 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 5�% _ #of S ies Qk? � YES <br /> $? FOR A BUILDING WITH A BASEMENT OR RAWL SPACE: <br /> The distance tween the lowest F A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(o he basement or crawl <br /> space)and the high t point of the roof. START WITH The distance between the top of slab and <br /> �'�` If you have a... the highest point of the roof. <br /> }' If you have a... <br /> • GABLE OR HIPPED OF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half windows): Subtract half the distance <br /> distance between the highes oin between the highest point of the roof <br /> of the roof to the low point of th to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hippe oo SUBTRACTIOM gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED R00 (with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half e ROOF TYPE) windows): Subtract half the distance <br /> distance between the�p of the between the top of the highest <br /> highest window and e highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER OF TYPES(flat, • ALL OTHER ROOF TYPES{flat, <br /> mansard,et :No sub4raction. mansard,etc:No subtraction. <br /> ADDITION Add the dis4ance between the top of slab <br /> SUBTRACTION Subtract the di, nce between the (BASED ON and the highest existing grade adjace�t to <br /> (BASED ON EXISTING basemenUcr I space floor and the EXISTING the foundation. <br /> GRADES) highest exi mg grade adjacent to the RADES <br /> foundatio OR 10 feet(whichever is less). E ALS Defined building height <br /> Ef3UALS Defin buildirty height <br /> Shorelanct District, fdIC1EVD F'ermet Receiveci Avera e Lakeshore Setb ck fiflet? Bluff <br /> 0 Yes 0 No 0 N/A � Yes 0 No <br /> 0 Yes No 0 Yes 0 No 0 <br /> Permit Number: Setback: <br /> �;; <br /> �; Stormwa r Quality Existing Proposed �ariance Required CtDF Re ired <br /> Overfa istrict Tier Hardcover Hardcover <br /> � Yes � No � Yes � No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:lforms\plan review checklist 2013.docx <br /> , <br /> ��: � .� <br />