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�;` ' ' <br /> PL�l� �EVIEVN GI�ECl�(LIST FQR NEIl1� STRUGTURES / �A,DDlTIONS <br /> Address: ,.,7 f ��' f �Ct�('�L� �r �^c; l� Permit No.: <br /> Descriptionofwork: �j���i^�'�C��ii nP,l�'2C�cl �l DateRec'd: <br /> Septic review by: /y � Date Approved: <br /> Zoning review by: �. Date Approved: <br /> / <br /> Building review by: ��� Date Approved: G l <br /> Grading review by: Date ApprovecJ: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC 1Midth: Lot Coverage: SF % <br /> �urvey Submitted: � Yes � ❑ No Date of Survey: Revised date ? : <br /> Landscape plan submitted? � Yes ❑ No Landscaper: <br /> Proposed Setbacks: <br /> � <br /> Front (Lake) Rear(Street) ( N S E W ) ( N% S E W ) Other Buildings Wetland <br /> � Side �� Side <br /> � <br /> � <br /> '� Defined Height: Peak Height:�_ FFE: FFE minus 6 feet= (Existing Contour <br /> Rerimeter(linear feet) = 0% = L.F. below grade <br /> Basement? ❑ Yes ❑ No, Stori s <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATIQN: <br /> The distance between the:io est proposed Slab at or above grade— <br /> floor(of the basement or cra I space)and measure from hiqhest existinq <br /> START WITH the highest point of the roof. rg ade to the highest point of the <br /> START WITH roof even if fill was brought in to <br /> elevate home. <br /> If you have a... <br /> SUBTRACTION • GABLE OR HIPPED R OF(no Slab below grade—measure <br /> (BASED ON windows): Subtract half the distance from highest existing grade to the <br /> ROOF TYPE) between the highest poi t of the roof hi hest oint of the roof. <br /> to the low point of the co responding If you have a... <br /> gable or hipped roof SUBTRACTION ` GABLE OR HIPPED ROOF <br /> GABLE OR HIPPED RO F(with (BASED ON (no windows): Subtract half <br /> � the distance between the <br /> windows): Subtract half t e distance ROOF TYPE) highest point of the roof to <br /> between the top of the hig est the low point of the <br /> �' window and the highest p nt of the corres ondin <br /> roof p g gable or <br /> hipped roof <br /> • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF <br /> mansard,etc):No subtractio . (with windows): Subtract <br /> i SUBTRACTION Subtract the distance between the half the distance between <br /> (BASED ON basemenUcrawl space floor and th the top of the highest <br /> EXISTING highest existing grade adjacent to t window and the highest <br /> GRADES) foundation OR 10 feet(whichever is ss). point of the roof <br /> • ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALS Defined building height subtraction. <br /> Defined building height <br /> EQUALS <br /> � <br /> ,\ <br /> Updated: October 2015 <br /> � z:\forms\plan review checklist 10-2015.docx <br />