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�. PL�N �E�/��1IV CHE�KLIST �OR IV�UV STRUCTIlRES / A►DD�TIONS <br /> Address: � �� �b`� �'��P�'� Permit No.: ��� '° �� <br /> Qescri ti�n of wark: @ <br /> f� � � � � Date Rec'd: �'��' � <br /> Septic revievv by: ��� �'° �� I l �ate Approvec�: <br /> = Zoning review by: �����h;�r �ati7 °�;1���� �ate Approved: ��� � �y �,�5 <br /> a <br /> ; Buildiny revievv by: ��-- Date Approved: '���� " l.� <br /> ; Grading review by: Date Approved:�'2�' �� <br /> t= <br /> Zoning District: � " �� Zoning Fife#: ����-- R�so#: � Reso Date: � '� ' <br /> Zoning: Lot Area: SF/AC VVidth: Lofi Coverage: �F % <br /> Survey Submitteci: �Yes ❑ No i�ate c�f 5uneey: �'�' '� Revised date(?): <br /> y, Proposed S�tbacks: � <br /> � � <br /> °Fron e� Rear(�„ et) ( N S E ) ( 1� S E� IM ) Other Buildings Wetland <br /> .1� Side ��. Side <br /> �; <br /> �•� + ��� ��.:�� ` �.�„e <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> '" Perimeter(linear feet) = 50% = L.F. b�lovse grade #of Storie� <br /> FOR R BUILDlNG WtTH A�ASERAENT OR CRAYVL SPACE: FOR A BUfLDING OP!A SLAB FOt1NDATiON: <br /> � The distance between the lowest pro�osed The distance between the top of <br /> ; START WITH floor(of the basement or crawl space)and START WITH slab and tf�e highest point of the <br /> - =� " the highest point of the roof. roof. <br /> If you have a... If you have a... <br /> ' • GABLE OR HfPPED ROOF <br /> • GABLE OR HIPPED ROOF(no (no windows): Subtract hali <br /> windows): Subtract half the distance the distance between:he <br /> � between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof <br /> corresponding gable or <br /> (BASED ON � GABLE OR HIPPED ROOF(with SUBTRACTION hipped�oof <br /> ROOF TYPE) windows): Subtract half the distance (BASED Ohl . GHBLE OR HIPPED ROOF <br /> '2 between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTFiER ROOF TYPES(flat, window and the highest <br /> mansard,etc):No subtraction. point of the roof <br /> �.r • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the ,�' (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the G� subtraction. <br /> EXISTING highest existing grade adjacent to the �@� ADDITION Add the distance between the top <br /> �, GRADES) foundation OR 10 feet(whichever is less). �a�6' (BASED ON of slab and the highest existing <br /> I E�UALS Defined build'ong height ::(� EXISTING grade adjacent to the foundation. <br /> GR�4DES <br /> ;'tF ' EQUALS Defined building height <br /> �- �..i��..�� <br /> �{� r;•,u <br /> Shoreland District IVICWD Permit �, ;;-�' � �verage Lakeshore Settsack g�uff <br /> ;�`d IiAet? <br /> �Yes � No Permit�fumber: � a� � Q Yes � No N/R ❑ Yes � No <br /> ; <br /> 0 N/A—see attached Setback: <br /> Starmvuater Quality Existing Harcicover Proposed <br /> Overlay District (%and sfl Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> � '' ``. a Yes �•No � Yes G No <br /> 1 f� 3 4 5 Type(s): Type(s): <br /> �* . <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> J�.• st=�:.,,.__����.i._�:...x.�y:..�.�m�rr5._. .��;�a y..ti��.:,� aMw,__.�.:�.. ,�z,.�a,�..._.3r ,_�a-::._..s.�...._.,_:�x..�.�zsr�-.s=�.�n�.s.�.._:ri.:.:s:��a���t.;�.^��,w:..a_.�.....�e.��::...,�._..z.+.�:.a:s�..v..;,a;+��:x.�€.`�«z��:_ <br />