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' ' �LA� �E�EE1nl �HEC�C�I�� FOR �E1IV �TF�EJCTUi��S / l�$�Di�IONS <br /> �4 Adciress: ,�'_�S�����!�``�� ���� Permit tVo.: <br /> ��.� Description of work: i��t,-, � -� ��i� -f- ���`,.�" Date Rec'd: <br /> �-� . <br /> �: <br /> ; <br /> Septic review by: H+C�t°r�; Date Approved: <br /> Zoning review by: �� � Date Approved: <br /> Building review by: �,.�,�� � Date Approved: ;�=��" � �_� <br /> Crading review by: t`'��� Date �4pprodecl: <br /> .�� <br /> Zor�ing District: Zoning File#: Reso#: Reso Date:�` <br /> ' Zo ' g: Lot�4rea: SF/AC Wic�th: Lot Coverage: SF �% <br /> � <br /> Surve ubmitteci: Qi Yes � No Date of Survey: Revised date � : �' <br /> Proposed tl�acks: <br /> Front (Lak�) Rear(Street) � � � E � ) � N � � � ) Other Buildi s lNetland <br /> Side Side <br /> { <br /> Defined Fieight: Peak Height: FFE: FFE minus 6 et= (Existing Contour <br /> Perimeter(Iinear feet) = 50% = L.F. below grade #of Stories <br /> _' FOR A BUILDING WITH A BASEMENT OR CR WL SPACE: FOR A BUILDI ON A SLAB FOUNDATION: <br /> The distance be een the lowest proposed The distance between the top of <br /> START W ITH floor(of the basem t or crawl space)and START W ITH slab and the highest point of the <br /> the highest point of th oof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED R < (no (no windows): Subtract half <br /> windows): Subtract half th istance the distance between the <br /> between the highest point of t roof highest point of the roof to <br /> to the low point of the correspon <br /> SUBTRACTION gable or hipped roof the low point of the <br /> corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(wit�F'°� SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the di�4ance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the hioh�St ROOF TYPE) (with windows): Subtract <br /> window and the highest p,�nt of the half the distance between <br /> roof �� the top of the highest <br /> • ALL OTHER ROO��YPES(flat, window and the highest <br /> mansard,etc):N�"'subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distan e between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl�pace floor and the subtraction. <br /> EXISTING highest existi �grade adjacent to the DITION Add the distance between the top <br /> GRADES) foundation�l0 feet(whichever is less). (B ED ON of slab and the highest existing <br /> EQUALS Definecj�uilding height EXI NG grade adjacent to the foundation. <br /> �o GRAD <br /> EQUALS Defined building height <br /> Sl�oreland District tr�CWD �ermit Qderage Lakeshore Setback g�uff <br /> NSet? <br /> 0 Yes ❑ o Permit Number: Q Yes Q No Q N/A Yes � �o <br /> � N/A—see attached Setback. <br /> � <br /> Stormwater�uality Existing Hardcover �roposed <br /> Qverlay�strict o Hardcover Variance Requ6red CUP I�equi d <br /> Tier c�cle one (/o and sfl %and s <br /> � Yes 0 No � Yes 0 No <br /> 1 ;2� 3 4 5 Type(s): Type(s): <br /> � Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />