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<br />� J4t�t�f@$.8: � �@rIT)�f NO.`. �.4/� ,'• �,�j 1 iV
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<br />: Descriptian of veork: � Date Rec°d: � � �'�
<br />� .
<br /> I Septic revievv b : ' �W� '�-' l�(�l� .----- `
<br /> y _,�,� Dat�1�pproved:
<br />� Z�nin revi�w b - ' '
<br /> � Y• Date/�pProved: � ,,�
<br />�
<br /> Efuilding re�iew by: � Date�pproved• � r� ,� �
<br /> f
<br />� Gr�ading re�v�ew by: Qate Appr�ayed: $`�$'• 0�
<br />( � �
<br />+ .
<br />� Zoning Digtrict: �" Zoning�ils�6: Reso#: Reso'Date:
<br />� �oning: Lot Area: �Ob�tP�$F/��.�� ` WIdtH: Lot Cov±et�g�: '"".`4 : � '.�.�'"' °to
<br />� Swrve.y Sub+nif#ed: �es Q No �3ate of Survey: '��" '' ';� Revised dateC�) �{ a'� i ^`
<br />� ' Pro o`sed Setb�cics:
<br />� �
<br />� �ront�ce� Rear(S j3� ( Id S E 1'jN� � � S 3�; ��a
<br />� , � __• �. �tbe+r BuFid�ngs' Wetl�d .
<br /> f Sld+� -Slde
<br /> _ ��,' , ,�•`?.�"'� �._ ;� ,�y' ,�,� �
<br />� ' .�� �E
<br /> Def�n�d Helght: Peak Heig#�t: ' Fff:� � •=� �F�=m�nu�6'f�e��� ���;.�
<br />� , (.�,_(Exi�tin��bnt4ur}
<br /> �-��
<br /> P�t�meter(linearf$et�= � 50°10= ; �°""_ � �,.�. fo � � '
<br /> -
<br /> __„�_.._.,,T �e !t�r Rade'�#ofi 3��r�e� �
<br /> . � .
<br /> . ..��.,_.,._
<br />! �OR A BUtLDfNf Wt'Tti A BASfNf ETli'OR CRAW�,SPAC�: FaR A BUII.DING ONk A SLIqB FOUWDA'#IDW:..
<br />� ,.�. ��� � � The distarice pe,i�een the'lowest prop�sed � � � � �
<br />� � � �i'he dls�a�e b�etNie,ec��Q�`�f ..
<br /> .�" . : , , ST,4RT.VYF799 fl�6r{bf the bas��or�W1�Pe�)and ." STAf�TV1If�H �IaB and tfie h�gbes�W?i�t�if iti�
<br /> «-'°�"` "�.: ; the hi�t�s�PPlirt tsf xtie r�;
<br /> i ., r�of ` "; :
<br />� � If you Jaave a... ; ��-_ � �� ' lf You hAvB fi ° :�
<br /> + C,ABLE Of�1i�PPEQ t�00�{R6 < G�ABL�Oi�tilliP�D�220p�
<br />� wl�dows 9u@t�t hslF tkie di5�no� . {n0 iivip"doi�):;�Ulifract K$'lF�
<br />� �`�' �� thb d�st8n69.., �' e
<br /> ;, �fietVvedri�e hTghb$tP�ltttofi;tlie roof �e (�
<br /> ,
<br /> #o the�4�v;Polni of 1tie Cc+r�spor�+0lrp � the!ow p��o1M of��`@°foDf fb
<br /> 4 54�BTW4CTlON 9db1e or hipped roof
<br />� {aAs�n oN : �nespo�di�$g��ie or
<br /> tROE3F'I'YP�} • �ABI�CSF2 tiIPP£b RqOF(wffh �116�iA��1�N fiippet}�6F ' �
<br />. v�nhdQws): SubfraCt h�Hlli'e distance {BAS�d Or(; . (�,qB����HI�P�4)Rt�OF . �
<br /> f0
<br /> between the ta�ofithe Aighist . RODF T'Yi�E). (wlth aNtr�da�rs;�;.Supfr6ct .•
<br />; wiAdow and the hfghost pdiht of�hs - h�f the dlstsnce beiw�l�. �
<br />; ��roofi �� � tlfet6p�aftftBhfghqst' ��: °
<br /> f • Atl OTHER RbO�'TYP��(tlai - windg+N�litie liighesf.
<br /> mansard,etc):Nosubtractian; : pointof#1a�rt�of
<br /> � � �: � � Ai:LL-D�i�R,lt�
<br /> (BAS�� 5ubVlcf the istance belweeA the • (fiat,ctt�ASaFd,OOFTYP.ES
<br />� - _ '
<br />�' + �� D QM basementfcrewl space floor and the' etc):No
<br /> G EXIB��MG higF�est exiSUng grade a ubtraotic��i . ,
<br /> djticeM to this /�i, ITION Add�#ie distance'between the fop
<br /> 6 � '�' `. • GRADF� foundatlon OR 1-0 feet(w1i�Fievar 1s less). (BASED ON of sfab and the tdghest existing '
<br /> , EQUAI:S Defl�d bl�itding height �DE G grade adjaceM to the faundaUon. .
<br />. ,.. _ , �GNlALS '
<br />' Defined bul ding he(ghY
<br />�
<br />� Shoreland Distr[ct MC1ND Permit ' � Average 4akeshore SetbaCk Bluff.
<br />: � .Met?
<br /> Yes � �o Permit Number: I� -�"'�' � Yes fl N� N/A � Yes No
<br /> � N/A—see attaehed Setbadc:
<br /> Stormwater Quality �istin�Fiardcover Pro�sosec! _ :
<br /> Overl�y�istrEct , Hardcover Variance Re uired
<br /> Tier circle one (�o and s� o R Cl6P Required
<br /> /o and s
<br />, �:��0 � Yes No O Yes No ,
<br /> 1 2 � 4 5 ��4�.1� �ype�S�' Type�s��
<br /> t
<br />, Updated: January 2015 ` •
<br /> z:lformstpian review chedclist 2015.docx
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