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�L�et� �E�/fE1JV �l�E�M(���T FOf� �EV� �Ti��JC��FFLS / �i�D1�106VS <br /> �►ddress: ��o�C� � ���:�:�"�o° .�'����-�% r r Permit Na.: 2 O 1�-C�p`f�� <br /> Description of work: � "�"�L �"��u to�-� O� Date Rec'd: ����- �'� <br /> Septic revie�nr by: �V 6 t'� Date f�pprovecf: <br /> Zoning review by: /�/ � Date Approved: <br /> �, Building review by: ��— Qate Approved: �" Z ���0 5 <br /> �_ <br /> � Grading revievv by: /� Date Approved: <br /> Z ning District: Zaning File#: Reso#: Reso Date: <br /> � Zoni : Lot Area: SF/AC 1�icf�6�: 'Lot Cove�rage: SF % <br /> Survey bmitteci: 0 Yes � No Date of Survey: Revised date ? : <br /> Proposed S� acks: <br /> Front(Lake� Rear(Street) � N � E � ) f � � E � ) Other�uildings ViEetland <br /> Side Side <br /> Defined Height: Feak FEeight: FFE: FFE minus 6 feet= (Existing Contour <br /> �` Perimeter(linear feet) = 50%= L.F elow racie #of Stories <br /> 9 <br /> FOR A BUILDING I�JiTH A BASEMEPIT OR CRA SPACE: �OR A BUILDING ON SLAB FOUNDATION: <br /> The distance betwe the lowest proposed The distance between the top of <br /> START WITH floor(of the basement crawl space)and START WITH slab and the highest point of the <br /> � <br /> the highest point of the ro . roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROO no • GABLE OR HIPPED ROOF <br /> (no windows): Subtract half <br /> windows): Subtract half the ance the distance between the <br /> _ between the highest point of the of highest point of the roof to <br /> to the low point of the correspondin the low point of the <br /> SUBTRACTION gable or hipped roof <br /> `�,' BASED ON corresponding gable or <br /> � • GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distan (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYP S(flat, window and the highest <br /> point of the roof <br /> mansard,etc):No su action. Q AlL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance b een the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl spa floor and the subtraction. <br /> - EXISTING highest existing gr e adjacent to the A ITfON Add the distance between the top <br /> GRADES) foundation OR feet(whichever is less). (BA ON of slab and the highest existing <br /> EQUALS Defined bu' ing height EXISTI grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit �4verage Lakeshore Setback ��u� <br /> �et? <br /> � Yes ❑ o Permit Number: E7 Yes E� No a N/A d p �io <br /> 0 N/A—see attached Setback: <br /> Stormwater uaiity Existing Hardcaver PrQpased <br /> �verlay istrict o Fiarc�cov�r �fariance t�equireci C�JP Require <br /> Tier ' cle one (�o and s� % and s <br /> ❑ Yes ❑ t�o 0 Yes ❑ No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 tt� � <br /> z:\forms\plan review checklist 2015.docx �0 C rrs-s� <br /> ,/ <br />