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�E..�� ���E�� ��������-� ��� l��� �-�-�c������s ` ����-�c��� <br /> Address/Permit Number: �� � � E�'A��� �S.S 6���n/f" �m� <br /> de�criptioe� of work: ���ii �'�.;:;C.r�� ���C�����i <br /> Septic review by: ;���' Date �►pproved: <br /> y Zoning review by�: ��� Date Approved: <br /> Buifding r�view lsy: Date Approveci: �' �`�' —�`� <br /> �'. Grading review by: �f,�- Date Approved: <br /> oning District: �onir�g Fil�#: Reso#: Reso �ate: <br /> Zo ' g: Lot�rea: SF/AC 1�+odth: Lat Cover��e: SF _% <br /> Survey ubmitteei: E� Yes � No Date of Sur�se�: Revise date ? : <br /> Proposed tbacks: <br /> Front(Lake F�ear(�tree�) 1 � � � � ) f � S E � ) Qth BuiEc�ir��� ltiletlanc9 <br /> �. Side Side <br /> Defined Height: Peafc I�eight: FFE: FFE inus 6 feet= (Existing Contour) <br /> �;` � <br /> , <br /> Perimeter(linear feet) = 50% _ #of ories Ok? Q� YES <br /> FOR A BUILDING WITH A BASEME T OR CRAVI►L SPACE: <br /> The tance between the lowest OR A BUI�DING OI�!A SLAB FOUND/ATION: <br /> START WITH propos floor(of the basement or crawl <br /> �, space)a the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have .. the highest point of the roof. <br /> tf you have a... <br /> • GABLE R HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): ubtract half the windows): Subtract half the distance <br /> distance be een the highest p ; t between the highest point of the roof <br /> of the roof to t low point of e to the low point of the corresponding <br /> SUBTRACTION corresponding g le or hip d roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPE F(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> NPE) windows): Subtract h the ROOF TYPE) windows): Sub4ract half the distance <br /> distance between t top f the between the top of the highest <br /> highest window a the hig st window and the highest point of the <br /> point of the roof roof <br /> ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER OOF TYPES(flat, • mansard,etc:No subtraction. <br /> mansard,e j:No subtrac4ion. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the di ca�ce between the (BASED ON and the highest existing grarle adjacent to <br /> (BASED ON EXISTING basemenVcr I space floor and the EXISTING the foundation. <br /> GRADES) highest exi ing grade adjacent to the GRADES <br /> foundatio OR 10 feet(whichever is less). EQUALS Defined building height <br /> a EQUALS Define builcEing heigh4 <br /> ShorelancE District I�ICVIB� F�ermi�F�ec�ivec� �►vera e La hore Setback t1�et? Bluff <br /> � Yes � R�o � N/A � Yes � No <br /> 0 Yes o � Yes � Q fV/A <br /> Permit Rumber: Setback: <br /> �; Stormwa r Qualit� �ristin� �rcapc�se� �/arianc� k�equirecf U� i�e�uired <br /> Overfa istric�fier t��rc@co��r Hardcove� <br /> L� Yes CE No Yes t� No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> �' v:\forms\plan review checklist 2013.docx <br /> � <br /> �-; <br />