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. E���� ���[��v �t�E�KLiS� F�� �E�if ��`��C����S l �,���T�Q�S
<br /> , Adde�ss/Permit I�umber:- 21°t Y� Kfcu�u.�o o c� ��y
<br /> Description of v�rork: �ee.�,c �#�c.4 cA.�y�- t iV t�1�h0
<br /> Septic review by: itlJ
<br /> � Date Approved:
<br /> Zoning ceview by: n! L2ate Approved:
<br /> 8uiltlfng review l�y: ,,� ,�,� Date Approved: /Z-ZT �f3
<br /> Crading reviev�r by; Date Approved•
<br /> oning District: Zoning Ftle#: Reso#: `
<br /> Reso Date:
<br /> Zonin • l.ot A�rea: SF/AC Width: Lot Coverage: SF %o
<br />� Sunoey Su itted: C1 Yes a No Date af Surv�Y� I�evised date(�)•
<br /> ' Pro osed Se#b sc
<br /> � `
<br />� Frot�t(La�te) ear�Strest) ( N S E aIV ) ( M - S E �tlf ) Other Bu�ictings We�land ; ;
<br /> s��ie Side , .
<br /> . � ;
<br /> �,
<br /> DefinBd.Hei ht: : �� , .
<br /> 9 k Height:� �FE: ' �FE minu�6.feet=�(F�cisting Cantau:
<br /> Perimet�r linear feet -__¢� ,� '
<br /> � j� � `_ ���= � #of�S#ori� � � ���Ok��_f�YE� : �
<br />; s � � �' � : � '� ��r
<br /> FOR A BUILDING IM7'H A BASEMENT OR CRAVh�L.SP'.
<br /> START WJTN �di��ce�n� • �U1Lf31Nt3 O�1 A 3LAB FOUNE7�TIQN:
<br /> ProP�ed�'iof the tiasBment cr�w1 �OR _
<br /> spae`e�'and�;fiighesf poiiit 4f�he; '` .. START WITH The dis�8nt�-beiWe�n the tOp of 81ab'artc
<br /> �YoU tiave a... , the higlrest poiM uf the rqCf:
<br />; • {�,�,ABL�.OR HiPP�p R�Of.(no �'�u'.�Ye e . :,;
<br />' � w�ndwws}: ��btractfial�the ��� � ` ��• GAB4�OR HIRP�A RDiiF(�o `
<br />� a��ca betwe�,a,e fitgraost{�r� �rinno�vs1..su'btraci F�If fhe dlstaris
<br /> i � o�1he roof to tNe I�v pomf of fhe , fietween 9ae biphest paM of the roc
<br /> SIiBTRAG710N � "tqrrespontlmg gg4ile 8r hi��oot. to 3he ioN�Pdi�{�tF�e qoRes�pndin
<br /> SUBTRACTION
<br /> �.,, gatlle or hi
<br /> °TM�,D-�N ROOF . GJI►BI,E OR HiPP.�U RDQFs(_ ' {�A$EDON : . ��
<br /> ''y,, ,. G�48L�OR HIPP�is Ii�OF�(with
<br /> i w��; Subbac:ttialfthe" �Ob,f�1'pE) y1!iildoWs} Subtr�cthaNthe�Jist$nc
<br /> i �ili�ncA b�{weeri the�Eop b e `� � beiw�gn the:#bP o�4he tiigfiest,
<br /> - : :hfghest wind�nr and t�e '� hes� `y � ` > .. .
<br /> = s wiridow aind the M�p�eSt parrt of the
<br /> pchft Df the toof � � _ ,,
<br /> � :`AL�.OTH�12!"tD(?- PL�(�lat,- � °'�;` �� i414 OTWE�.RQq�.TYf��S,(fl�t,
<br /> . mansard,:etc) ,.subtrachon: . ° m sard N4su4tFac4on. .;.
<br /> 9U6`fF�ACrtIOH � ubtrad�e dista tlettireen�f1e�: .. '� , ����� -i4�id ttq8!i�}akuw tietwe�n�tli��op QfslaS�
<br /> {BASEDON:�CfSTINC� �e�thxa AeADOrat�dtl� -' ,(� . ON =8r►tlttf�tilgGe�tBKi�n�{�Ste�u9,J8centh
<br /> �u
<br /> � GRADESj h�9� :9radesdjacent.to�the . �T�S theHSunQB�on -
<br /> toundad' R t0 teet{whiche�rer is less).. `"
<br /> E4lt�AL'� � ; �' bui ding tiNgM.
<br /> . , . � - � �
<br /> �-. . �uilding hetg. :., :, „ ,y ; . , :� _
<br /> ,.
<br />. . ,., , ,
<br />; . . =• ,;. , � ,;. ,
<br /> ?�+ti
<br /> ° • :. � ,� '�,, , .
<br /> Shoreland Disfflet M�WD Penitit Receivetl - Avsta e.Lake�hore Se.tba�k�lflet7` ': glu�
<br /> t7 Yes 0 No 'Li �VlA � �1, Yes . G NQ
<br /> C1 Yes D No" _ ;C! Y�s G No D N/A
<br /> " Permit Number: �
<br />� � Setb�k:
<br /> Stormw er G�uality Existing Pr�oposed
<br /> Overl District'Tier �[ardcover }{a�COVe� v�riance Reqwired CUP Requireti
<br /> : ;� ` 0 Yes ` � �lo � Yes Q No�' ,
<br /> Type(s): Type�s�.
<br />
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