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���� ������� ��������� ��� ��� ���������� F ��������� <br /> Ad�fresslPermi�{�umber: � � _ ���"'��= � <br /> Descriptio�of v�ork: L a� � ' � �: (�� �i�,l�^^3�'J l-;C� <br /> Septtc review by: _fV/� Date Approved• <br /> Zoning review by: hJ /i _ Date Appcovecl: <br /> _ Builc�� review�by: " Date Approved: /-z�i - t <br /> Grading review by: N/�` Date Approved: <br /> Zoning District: Zoning Fife#: Reso#: Resa Dat : <br /> . <br /> 2onin • Lot Area: SF i AC 1Ntdth: Lot Coverage: SF % <br /> Survey Su itted: Q Yes � No Date of Survey: Revi da#e? : <br /> Pro osed Setb ks: <br /> Front(Lake) R�ar(Stree�) � � S E W ) { N S E 1R� j pt Builclings IM�tland <br /> Sicte Side <br /> Deftned Height: �ak Heigfit: ��E: FFE nus 6 feet= (Exi�ting Contou� <br /> Perimef�er(linear feet)_ `�0"/0= #of S rie�s Ok? Ct YES <br /> � <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPA : <br /> The distance between the i � A BUJLfliMG ON A SLAB FOUNDATION:` <br /> START WITH � proposed floor(of the basement or ` wl <br /> space)and the highest poinE ofthe STAR7 WITH T�distan�bet�reen the top of slab and <br /> It ou have a..: the highest,point of the roof. <br /> Y If you have 8... <br /> • t3ABLE OR HIWPED BOOF(nb . GABI,E ORHIPPEp ROOF(no <br /> windows): Subtract half the windows): Subtract half the tlistanc <br /> distance between fhe highest pciM between the highest paiit of the roc <br /> of the rooi to 1he low point of the <br /> SWBTRACTION corresponding gabie orhipped ° ��A�Pant of the�mespondirn <br /> ' SUBTR�CTION gable or hipped roof, <br /> ��D ON ROOF G,qBL�OR HIPPED ROOF � (SASED ON . fl�ABI:E i7R HIPF��p 1?OOR(with <br /> • windows): Subtrad half ` ROOF TYPE) windoNrs): Su.btract h�H the distanc <br /> distance between the of the _ befinree�l the top of the highest <br /> h�hest window and highes� wirxlow and the highest poiM of Me <br /> point of the roof roof <br /> • ALL OTHER R TYP£S(flat; - • ` ALL QfiHEft ROOF TYPES(flat, <br /> �me�nsard,etc): o subtradlon. mansard et�:No subtract�n. <br /> ADDRION Add fhe distanc�DetweBn.tMs Wp of alab <br /> Subtrad fhe dis between the - <br /> SUBTRACTtON t '� (BASED ON and l41e hlgtlest e�dsUng grade edjacent U <br /> (BASED ON EXISTiNG �s�^y� Pace floor and the EXISTING the foundation.' <br /> GRADES) highestexisti 9radeadjacenttothe� GRADES , : .. ,, <br /> toundation 10 feet(whichever is less). EQUALS netl buiWing hetght <br /> EQUAL$ -0etined iiding height _ <br /> Shoreland D�strict fiACWD Permit Recei�iec! Avera e Lakeshore Setback Met? tuff `_ <br /> L7 Yes G7 No : t'� N/A : L� Yes n No <br /> G Yes � ' ' G Yes Q No � N/A <br /> Perm�t Number. � Setback: <br /> Stormwater a[ity Existing I�ropo$ed �ariance Required CllP Required <br /> Overla Distr ct Tier Ftardcover Hardcover <br /> t� Yes [7 No Q Yes t� No <br /> ' TYpe�s)� TYPe(S)� <br /> Updated: January 2013 <br /> v:\formslplan review checklist 2013.docx � � ���`6��� � <br />