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� ���� ��������� ���������� ��� ��'��� ���c����c��� � ��:��€������ <br /> Ac�dees�lPe�Et tde�rr�ber: (6 6� �i c+�De n� C..�N� <br /> �escripEior�of�ror6c: �,t�teJ (Z t�.S <br /> Septi� r�vB�wr by�: �/� D�te Appeev�d: <br /> Zor�ing review by. '��'��!���'�' Date Approved: �� �� �� . <br /> Buiidin� ceview tay: D�t�Approvede � z-3(- l3 <br /> Grading r�dlew by. `�t � Date Approves�: � 3 <br /> Za�ir�g District: ��r�ing File�: .Reso#: t�eso E2ate: <br /> ��e�in Lot�ares: � `• � � ;; � <br /> �: !a �S�/AC �N.4fc��h: E.o�Q��ge: ;C1' l 1� SF �E o <br /> Sut�ey�ubmitt��: �Yes �`� � f�o Date of S[anre�: � � ���' Revised datel�)� (�-' 2-� '(Ja <br /> ��iV <br /> Pr� osed SetEaacks: <br /> �eoc�t(L�ke� l�e�r����t) ( � �i�� � � f � Side � j Qther Bu�ldin�� �'e�egE�nc� <br /> � r <br /> Def€rted F�efghf: Z i•� Peak HeE�h�: ��``-7` FFE:�� FFE minus�gee���y:``"` � � (Exi��ir�g Contoui <br /> Pe�irre�ter(line�r feet)_ �rU. I�y 5�p°/,_ ��''�.� t--jw #o$Stocies � f�[c7�YES <br /> Q� a�o�:r;.f,�,. ��[�j �� � �t= <br /> �OR A BUILDIkG WITH A BASEMiE�lT OR CE�lflIL SP/lCE: <br /> The distance between the Iowesi FOR A BUILDiNlG OP[A SLAB FOUNDATION: <br /> �.�/ „ START WITH proposed floor(of�e basement or crawl <br /> �.,� space)and the highest point of the roof. START WITH The distance beriueen tl�e top of slab 8nd <br /> If you have a... the highest poiM of the roof. <br /> t GABLE OR HIPPED ROOF(no ff����a"� <br /> windows): Subtra�t half the • GABLE OR HIPPED ROOF(no <br /> distance between the highest pomt windows): Subtract half the diatanc <br /> of the roof to the low point of the between the highest point of the roc <br /> SUBTRACTION corresponding gable or hipped roof to the law point of the cortespondin <br /> (BASED ON ROOF o <br /> SUBTRACTION gable or hipped roof <br /> a TMPE GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPHD ROOF(with <br /> � windows): Subtract half the ROOF TYPE) windows): Subtrad half the distanc <br /> distanee between the top of the between the top oi the highest <br /> highest window and the highest window and the hiphest parrt of the <br /> point of fhe roof �f <br /> • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtracdon, mansard etc:No subtracction. <br /> ADDRION Add the distance between the top of slab <br /> Subtract the distance between the 0 9 9rede ad a�nt G <br /> SUBTRACTION (BASED ON and tha hi hest ebstin <br /> �� !� basemenUcrawi space floor and the j <br /> j � (BASED ON IXISTING EXISTING the foundation. <br /> �1,,,{� I `:� GRADES) highest existing grede adjacent to the GRADES <br /> L�f � foundation OR 10 feet(whichever is less). EQUALg pefined building hslght <br /> EQUALS befined building heigM <br /> -g�- <br /> � ° <br /> Shorelancl Distr�ct IYI��D Perrnit Recenrec� A�rera e L�k�shore�etb�ck Mt�t? BE�ff_ <br /> Yes � t�o C] N/A 0 Yes No <br /> es � I�o <br /> � Perrnit t�umber: � �� Y��, � I�o Q N/A Setback: <br /> ' �� � � <br /> Stoe�wa4�c t�uaEity �xis�ing Prd�css�9 �rari�nce Rec�uirecE CI�P Re uie°e� <br /> Qverl� �i�trict Tier Ffarc9co�r�r Ei�r�cov�r � ° <br /> . '.„ �;� � Yes No � Yes No <br /> �'�E � ; � ,v k '' � TYPe(S)� TYpe(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docac <br />