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� <br /> �� [� ���'[�� ������tS� ��� ���.p ��'t����'���� � �,����°���5 <br /> Address: G� yG!/�p� . P�rmit t�lo.: �Jr='' ���0 <br /> Descri�stion o work: _ /`'�/!Z��W Dafie Rec'c9• <br /> Sep�ic review l�y: --""'—'—' Date AppravecE• <br /> Zonin review b�: �'`""`� Date Approveci• <br /> Buildi g review by: Date Approved: l ` <br /> Gradi g reviev�a by: Date approved• <br /> . �oning Distri : Zoning Ftle#: Reso#: Reso Date: <br /> Zontng: Lof�► ea: SF/AC Width: Lat Coverage: SF % <br /> Survey Submi ed: C7 Yes ' � No Date of Survey: Re ised date? : <br /> Pco osed Set acks� <br /> �ront(Lake t�ear(Street) ' � � Side � , t � Side W } Other B ildings 1lV�ttand <br /> Defined Heigh : P k Height: FFE:� ?F��minus = (Existing Contos <br /> Perim�ter(Ifn ar feet}= 50%= L'.F.bet w grade #of Staries <br /> FOR A BUILDING TH�4 BASEAAENT OR CRA SPACE: FOR A BWLD ON A SLAB FpU DAfION: <br /> disfance fhe'bwest ProPo� Thadistanee_ �the top ot , <br /> STA�RT Ii1rITH floof(of the base or crawl spacej�nd` START W ITH slab arld Ufe hip�hes4 poiht bf tFte <br /> ihe highest point of rpoi. �. <br /> If yqu have a... If ycu Mave e...' <br /> o GABLE OR H�P D.ROOF(no • ���?HIPRED ROOF <br /> windows�: Su t�aif the dlstance" (no wif�dows): SubVaet half <br /> � beM�eqn tha 1►ly �Soir►t of U�e ro�i�ff fhe distance-betwe�fhe . <br /> to the low poiM ofi� corresponding ��9����t of't}ie iob7fo <br /> SUBTRACTiON gable or hipped ioof ' me�pof^t°f the <br /> . (BASED ON , . - GA�LE OR�i1PFED- OF-(�' SUB7'RAC710N . ` `h PP��f�"�able or <br /> ROOF IYPE) windoWs). Subtract h �he (BASED bN . . GABLE OR HIPPED ROOF <br />• ����1�A�tMe ROOF'IYPEj (w�ih:wltwdows): S�btract . � <br />, wiritlow et�d�e fiighe�at rit of th¢ � ' �. : ff ,� <br /> �a it�e„�istance b�Mroed- <br /> rooi° the fop(rf itie highest <br /> • '.' ALLOTIiERl200F E (ilat, vuindtawand�ehigh�st <br /> ��` �� marisard,e��Na btract� , � , � � p9irit�fMerQof � <br /> • �ALI.OTFIERRODFTYPES <br /> SUBy'ROrC'�ION Subbact ihe distance �1 ttie, �flel,fi�i�isard efc)c"�1o�'• ' <br /> (BASBD ON baseineMicrawl s flooi and�he, , ,u s • <br /> EXIS1'ING f�ighest existin9 6 adle�entto q� . ADD iON Adtl�ie ` " betweeh ` top ' <br /> GRADES) #'oundatlon OR'I feet-wtiichever is �� h+ <br /> c ).' �Bi�b oa or s�an and�e ra�aest=ex�st�►�.., <br /> EQua�s net��ea bu� e l�gne ' o�T�� praae adj�,i to tt,e to�naa�lon. <br /> r. . `.GI�ADES '; <br /> �U,l�1:� Defit�d buildiqg helght <br /> Shorelar! Dis#rict IKC1lYD Permit �era�e t_a�Css#�ore Setba�lc ; .Bluff <br /> : . _ , : M�t? : . <br /> G. Yes Q' No P rmit Nwmber. [l s L1 No � IV/A � Yes � No <br /> W/A-see attached SeUseck: . ` <br /> Stormwater t1 a�ity Existi g iiatdcover Proposed <br /> Overlay Dis ct - /o and s Hardcover Variance uired CUP Rer�uired <br />� Tier arcle o e fl %and > ,, . • <br /> I O Yes O � Yes G No <br /> . 1 2 3 4� 5 TYP�(s)� e(s):; <br /> Updated: January 015 ;� , ` <br /> z:\formslplan re�ie checklist 2 15.docx <br />