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. � . ' <br /> ����� ������ ������L�� ��'� ��� �����e����� � ��������� <br /> AcidressiPermft f�umbee: � � $�.,�- �� ! �,�,� <br /> Descciption of worfc: ,�`�� �(� <br /> Septic r�view bY: ���� Date ApprovecQ: ,�_��- f,.� <br /> Zoning review bY: Date Approved: <br /> Builciing review by: � Date Approved:�' ' � � <br /> Gracfing re�riew byc •..rs Date Approved: � �y f <br /> Zoning District: �,' Zonireg File#: Reso#: Resa Dste: <br /> Zaning: Lot krea: �"` �:�z`� � SF AC �Ili�ith: Lot Cover�ge: SF %o <br /> — . , .. <br /> Sctrvey Submitted: Yes � No Date af Survey: 'r�' -���-�a , �Re�ised da#e(?):' � �'-�-� <br /> Pro sed Setbacks: <br /> Front( e� Rear et) �� S E W ) ( k S E W 1 Ofih$r 8uildings 1lVettancl <br /> Sicie �de <br /> �6 �� '�" �� �`� r'� � ` <br /> ,�.. � f ` <br /> Defn�d Height: �� `� Peak:Height���1� FFE: ��'`��� FFE minus S fe�t= ����'' (Existing Conto� <br /> �,. , <br />� Perlmeter(iine�r feet)_ �..� `"'..' Sp%_ � �-• � #� i <br /> `:� #'of Stories �- Ok? �YES <br /> �������'� : ��.��� �; �,���� ; <br /> �OR A BU{�DING WtTH A BASEMENT DR Ci2AVl/l�8PACE: � <br /> The tlistance betw�en the lo'west fCjR A BUILD(NG ON A'S � FOUNDATION: <br />' ����� START WITH proposed floQr(of�8 basement or crawl � " <br /> space)and the-hig est pqir�t of the roof. The distance between the top of slab an <br /> ' If you have 8..: �, . <br /> START WfTH the liighest parrt Cf the roof. <br /> • GABtE OR�IRPED RQOF,(no � � ff Y��aye a... <br /> windows): S btrad�half fhe { �` �AB4E OR HI��PED ROOF(nc <br /> windcaws}: $uDtract haMthe dis�ar <br />, distance n the highest poirrt ' be4ween fhe highesi poit�t of the a <br />� �.� �� � of the robf to e iqw point ot the. �f ;.to the+low Qoi�t of the carrespondi <br /> SUBTRAC710N �4rresporidin 'gatfYe or hipped mof - <br /> SUB?RAC�'10 <br /> ' ����' � � I� �-gabYe,or�►ipPed roof ; � <br /> (BASED OW RDOF . GqgL€OFt ,If�P'�d R(}DF{with ((BAS�I�ON i . ; � GABI�E,Oi�tFIPPED�300F{�ith: <br /> T�� wintloWs); S•bb'3ct half the' ROOF TYPE) � Miindows�: $ubttacC tialf tl�e distar <br /> distan"ce be ' the tbp of the � bet4veen tfie top of the t�igliest :, <br /> fiighest wi�tl �nd th�fiigtiest , wintloai and the.high�poirtt of th <br /> :point of the r ;% � ��. roof,� � � - <br /> . � �� ��' �� � ' • � ALI,O�HEi�RObF TYPES � <br /> ALL OTliER QOF TV'P�S(flat. t (�• <br /> tY1a1181fd,.@ZG�Nosubtr$ctfon. �a �SaM Butit 't�i►.: <br />� � n <br /> ADb 10N ' Add e'tii8tance b@tween tHe of Sta <br /> �l� SUB7iiACTION ubtra�t e distan betti�ieen ttie (BAS�b ON j ai1�i tRe hfph�st existing Dretle 8id <br /> r �j (BASED ON EXISTING b���BAt/craW�sp, Ce.floor and#he EXISTING" � the fountlapon. �ec�tft <br /> '�'�/ !� GRADES) highest existinp g adjacent to the G �� ; s , -- <br /> ��}� foundatlon OR;:1'0 ; t(whichever_is less). - EQU •Defined biylldMg lteight <br /> � !� E�QIJALS � �Deflnsd bu�ltling ,. 9ht :� 1 <br /> ����. � � � � - � - y . � ' . <br />� . . . . _ : . . � � . � .:.� . . . . � . � .. � ..: '..- .. , : <br /> . . � . . . .5 � . � � � . _ . . � _ � <br /> Sfioreland District NfCWD ermit Received Avera e Lakeshore Set ack.�lf�t� ��luff ' <br /> � Yes No Yes ° 0 'No G N/A G Yes � ` � Yes N, <br /> � � G No �N/A ` <br /> Permit Mumber. � �L �etback: <br /> S�ormwater Quality : E�isting; Pro�oseci <br /> ' Vatiance Required � CUR Required <br /> OveMa District Tier iiardcover Harctcoder > <br /> � Yes No a d Yes No <br /> ��� <br /> TYPe(S)� �yPe(s): <br /> Updated: January 2013 : <br /> v:�forms�plan review checklist 2013.doac <br />