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w: <br /> PLAN I�EVIEV0/ �HECF(LIS� FOR {i�ElllO STRUCTURES / AQDITIONS <br /> Address/Permit Number: p'�� �.�� � ��i, ����`�" <br /> � p � �,�,�.� � � �� <br /> Descri tion of work: <br /> Septic review by: � ��� Date Approved: ` ��� 6 �� <br /> Zoning review by: ��� �����.-�� Date Approved: �<�� � �' � � <br /> �1 Building review by: Date Approved: �` � ' � t� <br /> Grading review by: %� Date Approved: ��' � <br /> ' � �� <br /> . � .- ,-- <br /> � <br /> Zoning District: ��'���" ;��% Zoning File#: ` � -.-� Reso#: � i !'� Reso Date: <br /> Zoning: Lot Area: ��� `ar� '.r 9S� /AC Wiclth: Lot Coverage: SF % <br /> � � � 6 — <br /> Survey Submitted: r�'Yes 0 No Date of Survey: � � ��,r (,� Revised date(?): <br /> Pro osed Setbacks: <br /> ,� �� <br /> Front(�ake} Rear(St �t) ( N S �'E; W ) ( N S E ?'W ,� Other Buildings Wetiand <br /> � Si Side ��` <br /> ,' ��, ;,� i � :�; � .�.� . <br /> ; �� � `�� �J aC�� � °'��'% =; - 0 r <br /> F , <br /> Defined Height: ��� �, Peak Height�=._ FFE: J"� a FFE minus � feet= ?-������ (Existing Contour; <br /> Perimeter(linear feet) = 50% _ #of Storie� Ok? 0 YES <br /> FOR A BUILDING WITH A BRSEMENT OR CRAWL SPACE: <br /> `.- The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> � ;`:�f� �; START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the rcof. START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the <br /> y 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 /> y`"'�,� (BASED ON ROOF � GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> �9 NPE� windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc:No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> , � Subtract the distance between the BASED ON and the hi hest existin rade ad acent to <br /> �, SUBTRACTION � 9 9 S 1 <br /> �t��� � „ � (BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. <br /> �',';S�'��. � �-� GRADES) highest existing grade adjacent to the GRADES <br /> . foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> :; �` <br /> ''<,�'` �� EQUALS Defined building height <br /> �,.�1 <br /> Shoreland District MCV1lD Rermit f�eceiv�d Avera e Lake§hore Setback Met? Bluff <br /> ' �`�'es � No � NIA �' � Yes �'No <br /> Ly Yes � No 0 Yes � No �'�1/A � �� <br /> �°°� <br /> Permit I�umber.�;��- � �"�= Setback: <br /> ; <br /> Stormwater Quality Existing Proposed Variance i2equired CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> �����"�Yes � No � Yes `��No <br /> ������ `�� �� ��,��J T�Pe(s)� <br /> �� a�, TYPe(S)� < <br /> Updated: January 2013 �� ��;�.'�� E;��' <br /> v:Aforms\plan review checklist 2013.docx � �.-��` "!�'- � <br />