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_ ' �� � <br /> �k..f°'i�`� [I���"[��'[' �E���✓I�f..��� ��� ���YI ����1��i��G�7 0 l�Ll�����1iC� <br /> . <br /> A�re�s/P�rmit Number: � ' <br /> �� � <br /> Description of work: , �� �' <br /> Sep�ic review by_ Date Approv�d• <br /> Zoning review bY- ` Date Approved: <br /> Buiidin:�review by: D�te Approveci: 0�� i� — 7,�1� <br /> , <br /> Grading r+sview taY� � :D�te Approv�d: ��_�'t�' /3 <br /> �oning District: Zaning File#: Reso#: Resc Dat�: <br /> Zonic�g: Lot Aeea: SF7 AC 1lYidth: LoY'Coverage: SF %.�,.� <br /> Survey Submitted: D Yes L7 No Date o�Survey; Revis date ? : ` <br /> Pro osed Setbacks• : <br /> Fro�et(Lake) Rear(Street) l � Side � ) ( N Sicfe � � �t�er�B�ildings Wetland <br /> : <br /> � • — <br /> � <br />. D�f��ted Height: Peak Height: � FFE: t. , •'� FFE minus C feeti= .�' (Existing Contou <br /> Perimeter(1inear feet)_�� •� �Q°;6=�_�,�� #ofi Stories�i Ok ; S <br /> FOR A BWLDING WITH A BASEMEN' ! <br /> The <br /> START WITH prol DATt01�!' <br /> a� 1i �n � r f distance betw�en the top of stab anc <br /> ffYi •.1�� 1/� /�. { �S '��f--�,� hi9hestpoirrtofther+oo[. <br /> � . � '� you have a:.. <br /> ` • � F GNBL€OR HIPPED ROOF(no <br /> �J 1!�'�p� � windows): Subtract half ihe tli�tanc <br /> : � between the highest poinhofU�e.ra <br /> SUBTRACTION x to;the iow point of the cortespondin <br /> {�1SED ON RbOF � .. .. { gable or hipp�i roof >•: ; <br /> TYPE) �, I �BiE OR WIPP�b RdOF{wi� <br /> , � r�� �(j� — p p1/' � ndovrs): Subtract ha(i tlte distanc <br /> � �. � �f(e,�� 4ween iha;'top of the highest ' <br /> i .. ; v�ndow aotl"Nie hfgMest po6tt oF ttte <br /> f roof <br /> , . � ALL OTFIER ROAF 7YP�S(flat; . <br /> ,: ; , man ard etc:�Yo subt+action. i <br /> //�' 3U�TRACTION S� /�� � �j tF�e distarae betw�en the top of slab <br /> ba ` ��{ V�T f��'� nd the highest existlr�g grade adjacent t <br /> ` � (BASED ON 5TI G h� C e foundaUon. <br /> GRADES) � . <br /> _ fined bupdfeg height ' <br /> ECtuALs _ pe ,. ,, , _ � <br />, ` � <br /> � , _, � , ( ; <br /> � <br /> Shorelar�d bistrict _ :_ _ _ Met�: Bfuff <br /> + C3 Yes Q No <br />� 0 Yes � No , _ _. ��A <br /> . �.......-,_..,-..__..—-_ .____,-- r Setback: <br /> Stormwater QLality Ex�sting Proposed Variance Required CUP Reqaired <br /> Ciueria District Tier Hardcover Hardcover <br /> t7 Yes 0 No Q Yes O No <br /> TYPe(s): TYPe(s): <br /> Updated`. January 2013 <br /> v:lfoRnslplan review chedclist2013.docx <br />