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���� �e��e� ��������� foc° �ew �c������s / �c�e�i����s <br /> r� r <br /> Address/ PID/LegaL• �� C � � � <br /> Description of work: �d�/!.i f� ' � <br /> Septic review bY: _ � � Date Approved: � <br /> Zoning review t�y: Da#e Approved: <br /> Builc6ing review bY: "�M--- Date Appr�ved: 2` 1• �O l� <br />, _�_ <br /> Grading review bY� f{� Date Approved: � �� �� <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zon�n District Fire De artt�rtent �osf Office Schoo!Dist�rict <br /> t� �'- 1 � dV� �/}�� M �f� .S�T'3'S'(o 28I�d'O'. <br /> Zoning: Lot Area:��0�2•� f�,.� SF/AC �dth: ` �I O d•`� 4 Depth: 'r 3 0 qv� <br /> Survey Subrnitted: �Yes C7'No Date of Survey:__�t- i�- i 4 <br /> Pro osed Setbacks: <br /> Front(L�kt} Raar(S�watr) ( N S�(� �' f ( N �ide � ) Other BuElciings Wetland <br /> i^�0' `�13d ' '}' �"�.� � 4�0' 7 5'; ; �'� ' } <br /> Building Defined Height: �'�' Building Peak Height: lS' #of Stories Ok?: �YES <br /> , FOR A BUILDING WITH A BASEME�IT OR CRJ4WL SPACE: FOR A BUILDING ON A SLAB FOUNDATtOW� <br /> START WITH the distance between the basement floor!crawl START the tlistance.between the stab�nd the laighe: <br /> space floor and the highest roof peak,the top of WITH roaf peak,the top af the comire of a flat roof; <br /> the corn►ce af a flat roof,the dedc line of a the dedc line of a mansard roof,or.the <br /> rnansard rflof,flr:tlle uppermost point on a round upperm�st point on:a round or other arch-t�p <br /> or Mher arch-. e roof : raof '- <br /> SUBTRAC`t" half the di5tance between the higFiest window and : SUBTRAC'f half the distance taetween-the higt�est win�ov <br /> hi�hest roof ak of a itched roof � and hi hest r+�of ak f a itChed roof <br /> SUBTRACT the distance b�ivveen the�basernent floor/crawl�� DD�� � � the��tlistant�befween the��lab and=�he highe: <br /> space floor and the highest e�tisting gracle wifhin existin rade vuithin# e founda#ib� <br /> the foundation or'f0 feet,whichever is less. EQUALS Definec�buildin hei t <br /> � EQUALS ' Defined buildi hei h# : <br /> Lot Coverage: N'!f} �F A//�1 % <br /> '; , : <br /> Sharefand District ' 1ViCWD Permit Received Avera e Lakeshore Setb.a�k Biuff <br /> � Yes �No � N/A � Yes �o <br /> 0 Yes . �o t] Yes CI No ;. �N/A <br /> P'ermit Nurnber. ��baok: � <br /> Harcicover Zon�es ' Existir� Prv osed Variance Re ui� CUP Re 'uired <br /> • 0-75' Q Yes ' No � Ye� � No <br /> 75-250'' � TYp�(Sa� TyRe(s): <br /> 250-50D' <br /> . 5Q0-10D0' _ <br /> REMARKS(in-house): <br /> Updated: 09/11f2009 <br /> z:lformslplan review checkfist.docx <br />