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���;,f� ��.��E��,�'�.p �t-�����.[�� ��� ����' ��"��l���'E��� � �,�����'G�f�� <br /> �t6dress/P�rr�zi�Number: G:���`-,� ��::.�:�.L_�� f-��; �' <br /> ..� . <br /> [3escriptio�of�+�rk: �'��. e.�. ��.,;��,� <br /> Septic review by: Date Approvecl: <br /> Zoning re�iew by: ' y � Date Approvec6: �'l�`�� <br /> 6uild€n� review►b : Date Approved. `-�" - ( <br /> Gracling redeew by: r�v Date Approved: <br /> Zoning District: _ 2oning F6Ee�: R��o#: Re�o Dat�: � <br /> Z�r�ing:Lot R,rea: SF/AC t"�'ic�th: Lot Cov�rage: 5F % <br /> Survey Submitted: Yes � No D�te of�u�vey: � � ��`�� Revised datet?)• ' <br /> Pro osed S�tbacks: <br /> �t <br /> ��'nf(Lak�) o a�(Streetj (��'�� � E �' ) ( � ���,1 E t�' ) Oth�r Be�i�dir��� 1f�e�i��ad <br /> S�c�e '�de <br /> � �' f� �v� '' � ^ �_ �. ; • � � <br /> .._ _ . . <br /> � � ,w : - <br /> � � t ����.: ,� ��,.t�,i �L. <br /> � _ , r <br /> E2efir��Heig�t: Peak I�eight: .` �.� �'��: ����''�~ FFE minus 6 fset= �.�. � : (Exi�ti�g Conto�� <br /> ., <br /> E�erErt�etee�d6in��r feet) = 50%_ �o�F'Storiss � � Qk? t�'YES ' <br /> ,� ... .. . ; _ <br /> � F4R/!BUILDI�lG WITH A BASEII6ENT OR CRfi�1�LSPACE: �� ��. <br /> � r_- <br /> ,, Tfie distance between the Iowest, bj FOR A BUILDING ON A Sl.AB FOUNDATIOM: <br /> /�.( ,.. START WITH proposed floor(of the basemeM or crawl F �y^ <br /> - ) 4.;/ space)and the highest pcint of the roof. ��.��H The distance between the top of slab and <br /> If;you have a:.. the highest poiM of the'roof. <br /> � GABLE OR HIPPED ROOF{no <br /> . 'If yota heve a... <br /> • • GABLE OR HIPP�D ROOF no ' <br /> .�; Nnndows): SubUact hatf the ''� � <br /> '!� windows: Subtrac#haif the distanc <br /> distance between the highest point �r!� � <br /> between the highest potnt of the roc <br /> `'� of the roof to the low.polnt of#he � � to the fow point Ot the correspondln� <br /> SUBTRACTION corresponding gable or hipped roof � .,� 5l1BTRACTION <br /> (BASED O�!ROOF . GqgLE OR HIPPED ROOF wiih �'� �BASED ON � 9able or hipped roof <br /> ( ;�ABLE OR H{PPED ROOF(with` <br /> •;�'~' T�� windows)i SuMract halF the RQOF TYPE) windows): SubtradhaN the distan¢ <br /> distance between the top of the , ;_ between tl�e top of the hlghest " <br /> highest window and tl�e highest , window and the highest poiM of the <br /> point of the roof ' ropf <br /> ALL ATHER ROOF TYPES(flat, ' • ALL OTi1ER R00F TYPES(flat, <br /> v mensard,etc):No subtraction. mansard etc:No subtfaction. <br /> AflDITION Add the distanae beMreen the top of slab <br /> '+.� SUBTRACTION Subtract the distance between the' � (BASED ON and the highest exisNng grade aclJaceM t< <br /> (BASED ON fXISTING basemenUcrawi space floor antl the EXISTING the foundation. <br /> GRADES) h�9�t e�dsting grade adjacenfM the q�� GRADES <br /> �.� R foundation OR 10 feet(whiChever is less). r EQUIlLS Defined building height <br /> ,^,j� ..-- fQUALS • Defined butWing heighf r� <br /> ,�". JyYF �tyy ,, <br /> '����_;�' <br /> � <br />; Shoreland District �'iC1��Permit R�ceivee� ��era e Lakeshore Setback�Piet? Biu�f <br /> � Yes d No i� N/A � Yes No <br /> �Yes � No �Yes t� No C'� N/A s <br /> Permit 1Vumber: Setback: . <br /> StoronHrater(�uaiity ' Existire� P�oposed ��rianc�Require�E CUP Required <br /> Overla Dlstcict Tier l�aecicaver t�arcEco�er <br />. ��r.� .�,� � � ,� '�;�,� -- Q Yes No I� Yes-" No <br /> � E�, • 1�:�r' - _ �, TYPe�s)• �Ypets)' <br /> Updated: January 2013 <br /> v:\formslplan review checklist 2U13.docx <br />