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. <br /> ��:[�c� t�'��,�c���� ���������� ��� �:�� �������;����� � �:��c�c��� <br /> Address/PID/LegaL• ��'�. ���� ��,'� <br /> Description of work: � �,'�'E�j �'j'(��� <br /> �e��ic review by: ,_ Dafie Approved: ' <br /> Zoning re�riew by: ' �ate Approvecf: <br /> Builclir�g review�by: Date Approv�tl: b - �.i — 2o i 1 <br /> Gradir�g review t�y: _ Da�e Approveef: <br /> Zoning File#: -- Resolution#: -- Resolution Date: ---� <br /> Zonie� �i�trict Fire D� �rtrnerat Pos�Ofifice �chool District <br /> �' E�-- ,�- <br /> Zoning: Lot Area:�r�Z� SF AC Wid#h:_ �'lD�-�. SE'�'�l� Depth: �� �'��' <br /> �L - �:/' : <br /> Sunrey Submitted: �Yes � No `��' Date of Survey: _ Q�-1.2,-!� �� <br /> Fro osed Setbacks <br /> Feant(l.ake) Re�r(Stree�j (� � � � 1 ( ��� E � ) Qther��ai9dings ►�detl�ncf <br /> Side `-�ide <br /> �r-j� "'�' ' <br /> ' ��}�: ��� ,_,...� , �� <br /> Buifding Defined Height:_ �+� Build�ng Peak Height:_ ��t�t` #of Stories Ok?: L7 YE� <br /> FOR A BUILDIf�G VdITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUI�DATION: <br /> START WITH the distance between the basernent floor/crawl START the distance befin�een the slab and the highe: <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof <br /> the cornice of a flat roof,t deck line of a the deck line of a mansard roof the <br /> mansard roof,or the errnost point on a ro�nd uppermost pant on a r or ather arch-typ <br /> or other arch- oof roof <br /> SUBTRACT hal#the dis ce between the highest window and SUBTRACT half the di ce between#he highest windov <br /> hi he of eak of a itched roof and ' est roof eak of a �tched roof <br /> SUBTRACT t- istance between the basemen#flood crawl ADD distance between the slab and the highe: <br /> space floor and the highest ewstin$grade within existin rade within the faundation <br /> the foundation or 10 feet,whichever is less. EQUA S pefined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF o�� ' <br /> Shore[anc� DEstrict MiC1�dD PerrnEt�eceived Adeca e Lakeshore S�fiback @I�{{ <br /> � Yes � No � N/A � Yes No <br /> �''�Yes � No �'�Yes 0 No L'� N/A <br /> �°\ Permit Number. ' Setback: <br /> Hardcover�nnes �xistir� P6o �ec� Variartce Re uired CUP FFe uireci <br /> 0-75' �;► � L� Yes o � Yes No <br /> 75-250' ��C����l ��.�� tYPe(S)� Type(s): <br /> Zso-Soo� ��.��� ��.'�.8 <br /> 500-1000' <br /> . . . � .... � � r � . . <br /> REMARKS (in-house): �� . ft�" � , �''�fa.Q' ��' ' <br /> Updated: 09/11/2009 <br /> z:lformslpian reviev✓checklist.docx <br />