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���� �F���� ��������� ��� ���b ���������� � ���������� <br /> AddresslPermdt[�urrtber.�� '� � <br /> De�c�iptior�of work: .E , <br /> 1 <br /> Septic r$view by: D�te Approvec�: I�� �! <br /> Zoning review by: i' .,__ Da.te APprodecl: Q•��D• f�" <br /> Building review by: , Date Approvecl: q ,-, �'',� - t�f <br /> GradEng review by; Date Approved: a'�� '��- <br /> Zoningbistrict: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot p►rea; SF/AC Vl�icfth: Lot Caverage: S:F % <br /> Sunrey Submitteci: �'�fes � Na Dafe of Survey: (,4 �� ���'` Revised datef?):'' <br /> Pro osed Setbacks: - <br /> Front� Re�r( eet) ' �� � ���e � ) ( H �e w` 1 Other BWNclings ; Wetiand <br /> � �_ ,���� ������, �; �'� � , .'�; � <br /> 'L, , <br /> Defined H�ight: ��� Peak Height; Ff E:Rt��'�+� FfE minus 6 feet=Z��`' <br />� �.��a.�� (E�isting Contou� <br /> : [` "r <br />� Perimeter(iinear feet)= r' c�r'` �.SD°�= ''� �� ;:i: : #of Storie��Ok?�S � <br /> �OR A BUILDING VYITH A BASEMENT OR CftA�1VL SPACE; � <br /> r:. <br /> ,.... ,,� The distance beiween the lowest ; FOR A BUILDING ON A SLAB FQUNtDAT10N; <br /> "$TART WITH proposed floor'(tlf the b8semeM br crawl j <br /> -��.' � � space}and the�°highest point of the[oof. START WITt1 The distanCe '' n the top ot sl�b 8ntl <br />: the highest poiFlt roof. <br /> If you have a...' <br /> GABLE OR HIPPED ROOF(no <br /> N you h8ve a.:. <br /> � • GABLE pR HIPPED ROOF(n0 ` <br /> "`=� wmdoxu6)!:,SubVact;haif the windows}:-S btrecf half ihe slistanc <br /> distance k�i�veen tt�e highest poiM betvveen the.i�ighest point of tMe roc <br /> of the roo�to the low pofnt oi the <br /> ^-� SUBTRAGTION co►responsling gabie or hipped roof to.the lowpoi of tl�e cqrrespondin� <br /> } (BASED ON ROOF ��B�CTION . gabte or hipp rooR ' <br /> •:f,.ti= • GABLE CtR HIPPED ROOF(with (BASED ON . . G448CE OR IPPED ROOF(livith ,. <br /> TYpE) wdndowsX`;.SubUact hali the FtOOP 7YPE) windc�ws}:.S �fract 681f�S�tlis�nt <br />� � ����distanc�b�tween�the top of the � between fhe �of4Fie hiphe8t,`� : <br /> highest wfitdow and the highest " windcinr artd e hiphe,st poirN"of the <br /> point of the roof ' ro0f " <br /> . • ALL OThI,�`tR ROOF"tYPES i�let, ` ' • AL:L flTHEFt�t�OF Tl(PES(flat, <br /> mansarcl;`etc):No subtracdon. ` mans�rd e.ti¢�'No su dion, <br /> ; ADDRION, Add the distar�e en the top of slab <br /> � . Su�B���� nce between the (BP,S�ti ON and th�highgat e` ing grada�cljace[1t t� <br /> SUBTRAGTION $paoe floor and the bC15TiNG the fonnd8#fon. � <br />����& ' � �, (BAS�D ON�ClBTING . <br /> 'r • GRADES� h�9hest ewaUng qFatle adjacent to the ���g � <br /> � � four►dation OR 1�?feet(whichever is iess). t EQU�ILS pe#inud buiWing h�igF�t <br />�''" EQUALS ned building heigM '� <br /> y� � <br /> ( <br /> � <br /> Shor�land D��triet ;AACWL�.Perenit Received Avera e takeshore Setba�ck Met? � � �luff <br /> Yes � No Q N/.A ' : � Y s o <br /> : G Yes �o � Yes � No ;�,�#�A �: <br /> �erm�t Number. : Setba�k: <br /> _.. <br />: } <br />, _ ° � '. <br /> Stormwater Quality �isting F�roposed ���iance Requireci CUP Requi�'d <br /> Qverla Distcict Tier ; Eiardcovet Flardco�rer <�. � <br /> � ��.,..-�-e.....�,.. .. 0 Yes Q�No � Yes'` � o <br /> _..- -- -,--..._�.n.� <br /> --�"'�"- TYPe(S). , , Type(s): <br /> Updated€ January 2013 ; <br /> v:�formslplan review chedcl�t 2013.doac _ <br />