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�L�R,�t �EViEUV �HEC�6LIST FOR I��tAI �TRUC�'UR�S / /�►QD�TlOf�S <br /> Address/Permit Number: �(,-� 1 ` '8��°�`� ��'�`� � �i'o�'� <br /> �r <br /> Description af wor�: ��:-�.-� �"-�'t"�e� £'-- <br /> Septic revievN by: .^�� ��� Date Approved: <br /> Zoning review by: �.�;�� Date�►pproved: <br /> Building review by: , 4,�:a ����_���� Date �pprovec�: � % ;=� � �`( <br /> . <br /> a� Grading review by: � ����;�� Date Approved: <br /> Zhning District: Zoning File#: Reso#: Reso Date: <br /> �� <br /> �on r�g: Lot Area: SF /AC VdidtF�: Lot C�verag�: SF�% <br /> �k, Survey ubmitted: ❑ Yes C3 No Date of�urvey: Revised datel�) <br /> Proposed etbacks: ;�` <br /> # Frant(l�ake'� Rear(Street) � � S L VN ) ( t� S E l�l� ) Other Buil ings Vlietland <br /> ` Sicie Side <br /> �efined Height: �: Peak Ffeight: FFE: FFE minus 6 eet= (Existing Contour) <br /> � <br /> � <br /> Perimeter(linear feet) _ �` 50% _ #of Stories Ok? O YES <br /> FOR A BUlLDING 1NlTH A BASEMEIVT ORCRAWL SPACE: <br /> � <br /> The distanc§�,between the lowest FOR i4 B�DIPlG ON R SLAB FOUNDATION: <br /> START WITH proposed floor�of the basement or crawl <br /> space)and the h hest 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 HIP p ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtrac alf the windows): Subtract hatf the distance <br /> distance between the hest point between the highest point of the roof <br /> of the roof to the low poi of the � to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hip�ed roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF e GABLE OR HIPPED ROOF(�6th � (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) 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 TYPE��t, `� • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc:No subtraction. <br /> mansard,etc):No subtraClion. �� ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtrect the distance betwa2n the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space fl�r and the EXISTING the foundation. <br /> GRADES) highest existing grade�tljacent to the GRADES <br /> foundation OR 10 fe (whichever is less). EQUALS Defined buiiding height <br /> EQUALS Defined buildin eight <br /> 6 `�``_` <br /> Shorelanc� District C1MD �ermit �eceivec0 �►vera e Lakes re Setback IV�et? �1�4`f <br /> � Yes � No � N/A '< � Yes � No <br /> �� Ci Yes 0 No � � � Yes 0 No� CI N/A <br /> Permit Number: Setback: <br /> � <br /> Stormwater Quali�je Existing �r�pasec€ �arianc� Requirec� U� Required <br /> OverE� District ier Fiardcover Harcfcovee <br /> << Q Yes � No Yes � No <br /> ; �YPe(�)� TYP�(�;,�. <br /> . � ` <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br /> ;� <br /> �; <br />