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����� ���€��.� �����:�E�� ��� ��� ��������°�s � �a�������� <br /> Address/ PID/ Legal: � !� L�'�JLhJ <br /> Description of work: �'�.��! ��� <br /> S�ptic revievN by: �►�!� �ate�,pproved: �'�+ 2� <br /> Zoning review by: ���� Date APproved: �'� � `�-- �� <br /> �uiicfing review by: Date/lpproved: <br /> Grading r�view by: � Date Approv�d: Z c� —( �— <br /> Zoning Fiie#: Resolution#: Resolution Date: <br /> Zorein District � \ Fie�e De artmenY F�o�t Office School District <br /> � <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: �Yes I] No Date of Survey:_ Z—+�J� `( �' <br /> Pro osed Setbacks <br /> on Lake) ea (Street) � N l �Je � ) � � �icie � 1 Other Buildings l�lletiancf <br /> �'S�d <br /> ZO-�` �$ ' ��4` -�- 1C7�' z` <br /> �' t3�.�'� 2.5io = <br /> Building Defined Height:� 2-�� Building Peak Height: 3� r #of tories Ok?: �YES <br /> 9�5�e=a�g•5 <br /> FOR A BUILDING 1MTH A BASEMENT OR CRAYYL SPRCE: FOR A BUILDIN6 ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/crawl START the distance between the slab and the highe: <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof.. <br /> � the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or the <br /> mansard roof,or the uppermost'point on a round uppermost point on a round or other arch-typ <br /> or other arch- roof roof <br /> SUBTRACT half the distance beiween the highest window and SUBTRACT half the distance between the highest windov <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT the distance between the basement flooN crawl ADD the distance between the slab and the highe: <br /> space floor and the highest exis#ing grade within exis#in rade within the foundation <br /> 5 � the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: 1Vf� SF % <br /> Shoretand District MCWD PermEt Received Aver� e Lakeshore Setback Bluff <br /> � Yes C] No � N/A � Yes � No <br /> �Yes 0 No � Yes Q No �N/A <br /> Permit Number: Set6ack: <br /> Hardcever�ones Exi�tir� Pr osed Varisnce Re uired CUP R uiretl <br /> 0-7�' � Yes No 0 Yes No <br /> 75-250' � • �"Lp TYPe�s)� Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.doac <br />