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PLAN RLVIEiIII �HEC�CLI�T FOR �EVV S�'R�C�EJ��S / 14DDiTIONS <br /> Address/Permit Number: 1�85 4=ft�v�c bl ��1� �� . <br /> Description ofwork: ����'� ��c.�1�dc�� e������— <br /> Septic review by: /'V 6A Date Approvecl: <br /> �� Zoning reviev�by: _ Date Approvect: <br /> Building review by: �-�---- Date�►pproved: � �D--/� <br /> Grading review by: /v��' Date Approvecl: <br /> � �oning District: Zoning File#: Reso#: Resa ate: <br /> �" <br /> �� Zoning: ot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Sub 'tted: 0 Yes 0 No Date of Survey: R ised date ? : <br /> , <br /> '` Fro osed Setba s: ' <br /> Front(Lake) Rear(Street) � N S E W ) ( 6� S E W ) ther Buildings V�etfanc@ <br /> Side Side <br /> *: <br /> Defined Height: eak Height: FFE: F minu� fi feet= (Existing Contour� <br /> Perimeter(linear feet) = 5Q% _ #��tiaries Ok? � YES <br /> FOR k BUILDING WITH A BASEMENT OR CRAWL PACE: <br /> The distance between t lowest FOR A BUlLDING OPE A SLAB FflUNDR:TION: <br /> START WITH proposed floor(of the bas ent or crawl <br /> space)and the highest poin f the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> GABLE OR HIPPED ROOF �f you have a... <br /> ' • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): SubtraCt half the distance <br /> distance between the highest poi between the highest point of the roof <br /> of the roof to the low point of th to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hippe roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROO (with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half e ROOF TYPE) windows): Subtract half the distance <br /> distance between the p of the between the top of the highest <br /> highest window and e highest window and the highest point of the <br /> point of the roof roof <br /> ALL OTHER ROOF TYPES(flat, <br /> ': o ALL OTHER OF TYPES(flat, 6 mansard,etc:No subtraction. <br /> ".�` mansard,e :No subtraction. , ADDITION Add the distance between the top of slab <br /> � SUBTRACTION Subtract the tance between the (BASED ON and the highest existing grade adjacent to <br /> basemenU wl space floor and the EXISTING the foundation. <br /> (BASED ON EXISTING highest isting grade adjacent to the � <br /> GRADES) GRADES <br /> found t�on OR 10 feet(whichever is less). E ALS Defined building height <br /> � <br /> EQUALS D ned building height <br /> < <br /> .\ <br /> � <br /> Shoreland Dist ' t IVICWD �ermit Rece6vec� Avera e �akeshore Setb k Ilf�et? BIufF <br /> � Ye� � No C3 N/A � Yes � I�o <br /> t7 Yes Q No � Yes 0 No � N <br /> k' Permit Number. Setback: <br /> �` Storm atee�Q�ality� Existin� Proposec€ �������� ����Free� ClJF' Re ireci <br /> Overl Districf Tier Fiardcover Harcicove� <br /> � Yes � No � Y s � No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx �� ���'�'��� <br />