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, <br /> �L�4N REl�lEId+V CHEC�L��� FOR �E1Af STt��CTURES / �4D�ITIOl�S <br /> Address/Permit Number: ���� ��d��o�=r� C.-� <br /> Description of workr-� �e �� f� � � ���/� �`��� <br /> Septic review by: ,d�/e� Qate�pproved: <br /> Zoning revieva by: � � �at�Approved: <br /> B�ailding revievN by: Date Approvecl: 5��U ' �'� <br /> ` Gracling review by: �/f� Date Approved: <br /> j' <br /> Zoning District: ZQning File#: t�eso#: Reso Date: <br /> Zo ' g: Lot�rea: SF/AC 1EVidth: Lot Coverage: F % <br /> °, — <br /> Survey bmitted: � Yes 0 No Date of�urvey: Revised te � : <br /> Pro osed Se acks: <br /> Front(Lake) Rear(Street) ( N S E � ) ( N! S E 1l16 ) Other B iidings VVetl�nd <br /> Side Sicie <br /> Defined Height: Peak Height: FFE: FFE minus feet= (Existing Contour) <br /> i <br /> Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRA SPACE: <br /> The distance between e lowest �OR R BUI ING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the bas ent or crawl <br /> space)and the highest poin f the roof. 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(n . GABLE OR HIPPED ROOF(no <br /> � windows): Subhact half the 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 /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> nPE� windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> xs 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 at, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc:No subtraction. <br /> mansard,etc):No subtra on. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance betwe the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenVcrawl space flo and the EXISTING the foundation. <br /> GRADES) highest existing grade jacent to the GRADES <br /> foundation OR 10 fe (whichever is less). EQUALS Defined buildin4 heigh4 <br /> EQUALS Qefined buildin eight � <br /> i• <br /> �horeeanc� District MC1�t�D Permit Ir�ecei�e� A�rera � Lakeshore Settsack 1�61et� �luf� <br /> v 0 Yes � IVo C� N/A ❑ Yes � No <br /> ` 0 Yes � No ❑ Yes � No � N/A <br /> Permit Number: Setback: <br /> Stormvaater ality Existing f�ropased ��riance Required CUP Requii�e@ <br /> Overla Di rict Tiec Hardcaver Harcicover <br /> � Yes Q No � Yes � �� No <br /> �: TYPe�S)� TYpe(S)� <br /> Updated: January 2013 <br /> v:\formslplan review checklist 2013.docx <br />