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_ ���� �.����� ���c��.��� ��� ���� ���������� � �a:���e��c� <br /> /�ddress: 2.�p ��' �'`� llS!' �-U� Permit �o.• 201�e" ��/�' <br /> Description c�work: /7 P,�Q Q�Q� � /,(/'l!�( /,�(,{/�' Date Rec'd- <br /> Septic review by: Gt/G�/' �L�l� Date Approvec�: <br /> 2oning review b�: � Pi -- . ��l,�/ 1� Date Approved;� � ��Q <br /> �ufiding review by: Date ApProveci: �, ! <br /> Grading review l�y: Date ApProved: <br /> Zoning Distcict: Zoning Fite#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/ C Width: fi Coverage: SF °i <br /> • <br /> Survey Submitted: Q Yes �; Q No Date of Surv . f�evised date(�)• <br /> Landscape plan submitted? �Yes t7 No Landscap : <br /> Pro ossd Setbacks: <br /> Frant(Lake) Rear(Street) ( N $ E W ( N S E VII j Other Buildings Wettand - <br /> �ide Side <br />, <br /> De#irtetl Height: Peak Hei ht: FFE: F�E:minus 6 feet= (Existing Conto� <br /> Perirneter(linear feet) = 5 /o= L.F. below grade <br /> Basement? �Yes � No, � , to �es ' <br /> FOR A BUILDING WITH A BAS�M�NT OR CRAWL S ACE: FOR A gU11,DING ON A 3LA8 FOUNDAT,ION: <br /> The distanee be n the Ipwest proposed Slab at or above g�ade— <br /> START 1NITH floor(of the bas t or crawl space)and measure froin hiahest existina <br /> the highest po t of roof. START W1TH : 9-�to the highest point of'ffie <br /> roof:even if fiu was brought in to <br /> If you have ... elevaie home.' <br /> SU�TRACTION • GA E OR HI ED itOOF(no ' SlqbPbelow gratle—massure <br /> (BASED ON wf ows): Su Ct half the distance from highest exFsting grade to the <br /> ROOF TYPE) b een Ute hig st point of the roof h' hest nt of the roof. <br /> t the bw po`M the correspondin9 if you haye a.<: <br /> abie w hipped r SUBTRqCT10N; ' �BLE OR HIPPfD ROOF <br /> • C�ABLE OR HIRP ROOF(with (BASED"ON (�o+Mndows): SubVact haff <br /> windows): Subtra h�ff the distance ROOF TYPE) Yhe distance between the <br /> between the top of e hi�hest highest point of the roof to <br /> window and the hig st'poi�Yof the ' the 9ow point of!he <br /> roof° aoneSponding gaWe�r <br /> • ALL OTHER ROOF ES(flat, h���� <br /> mansard,etc);No su traction. • GABLE OR HIPPED ROOF <br /> (with windows):8ubhact <br /> SUBi'RACTION' Subtract the distance be n the ` half the distance between <br /> (BASED ON basemenUcrawispace floor nd the the top of the highest <br /> EXISTING hlghest exfsdng grade adjac t to the wint�ow and the highest <br />; GRADES) foundation OR 10 feet(which ver is less). poMt of the roof <br /> • ALL OTHER RO�F TYPES <br /> `EQUALS : Deflned building hetght (flat,mansard,etc):No <br /> su traction. <br /> Deflne buiiding height <br /> EQUAIS <br /> Updated: October 2015 <br /> z:\formslplan review chedclist 10-2U15.docx <br />