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. ���,� �t�vi�vv C����c���� �o� ��vv ��R�c�u��s B �����io�� <br /> �4cidress/Permit �lumber: � � �� � <br /> �escription of vvork: �� ` '�' S <br /> Septic review by: � Date�►p�aroved: <br /> Zoning review by: � ''�- �atre Approveci: �• ��i • � �� <br /> Building review by: � � Date Approved: ��-� � �F`'� <br /> Grading review by: _��_ Date Approved: <br /> Zoning District: ���`�� Zoning File#: Eteso#: t�eso Dat�: <br /> �,�:� . <br /> Zoning: Lot Are�: �-< SF/AC Vl/idth: Lot Coverage: SF _% <br /> � <br /> �. Survey Submitted: 0 Yes 0 No Date of Sur�ey: Revised date(?): <br /> �, Proposed Setbacks: <br /> �. ,-� <br /> � Eron�(La�e) I�ear�„�et� � � � E J,W ) C I� S E rih►� Other�uildi�gs Wetlanci <br /> �ide Side �,,� <br /> �� ;.�. ,-.. _ , , _ <br /> _ ✓/ <br /> � <br /> Defined Height: Peak Height: FFE: FFE minus �fee�_ (Existin� Contour) <br /> Perimeter(linear feet) = 5Q% _ #of Stories Ok? 0 YES <br /> a; <br /> �` FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> � The distance between the lowest �OR A BUILDINCs ON A�LAB FOUNlDATION: <br /> � START WITH proposed floor(of the basement or crawl <br /> space)and the highest 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 HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> � windows): Subtract 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 /> 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, <br /> e ALL OTHER ROOF TYPES(flat, e mansard,etc:No subtraction. <br /> � mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Definecl building height <br /> �' <br /> �horefancf District MC1l�f� �errroi� Received Avera � Lakeshore S�tback R�le�? BlufF <br /> � � Yes � No N/F, -- � Ye� � t�o <br /> �; Yes � No � Yes � No ���7 N/A <br /> � Permit Number: Setback: <br /> Starmwater Ccuality Existing F�roposed �r�riance Requireci CUP F�equirec� <br /> Overla Di�t�^ict Tier F�arcicoder Hardco�er <br /> `"'' �- ��� '� � � Yes � �R�o � Yes E�"�No <br /> � , � �,.��, , <br /> E1 , � " � <br /> � _ p�:�"J: . TYPe�s)� TYPe(S)� <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />