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E�L�� �E�l�� ��E��:�.6�� ��� ���V ��'��GT��E� � �.t�[��TtQt�� <br /> Addrsss: _ ����� C.t�'7'L tr i��2�i f� W� Permit Ho.: <br /> • Descriptian of work: '�1r��1�c� Date Rec'd: <br /> Septic rsview by: _�V t ✓� Date Approved; <br /> Zoning review by: 1$ Date Approved: <br /> Buitciing review by: '� Date Approved: S'�- �_� <br /> Grading review by: N/P� Date Approved; <br /> Zoning Dfstrict: Zoning File#: Reso#: . Reso Date: :t��' <br /> Zon ,g; Lot Area: SF/AC Wiclth: Lot Coverage: `� o�o <br /> Survey ubmitted: �Yes C1 No Date of Survey: Revised � : <br /> : Pro osed backs: � <br /> • � <br /> Front{Lake)� Rear(Street) { N S E 1N ) ( N S E W .) Other uitdings Wetland <br /> Side Side <br /> ; .. <br /> , Def�ned Height: �'`4 Peak Weight: FfE: FFE �s 6 feet= (E�cisting Gorrto� <br /> � ; <br /> Perirneter(linear feet)� '�``�-,� f 50%= L.F. pelow grade #of'Stbries <br /> FOR A SUILDING WIT�t A BASEMENT OR C � L SPACE: FOR A B LDIhlG ON ASLAB FOUNDATION: <br /> distance th9 Ibwast proposed <br /> � .� The distanoe,betweeo iMe top of <br /> START W ITH :floor(of fhe ba er�e or arawl space)antl S7ART WITH: � .slab and the hi�hest poitit tif ftte <br /> ' the highe5t pol�t o#tl�e . roof. ` , . <br /> ' �` - If you have a..; . If you have a.... . <br /> • GABLE qR NIPpED R0 (no ' • GABIE QR HIPPED ROOF <br /> wintlaws): SubSact half the sfance (no wil�tlowsl: Subttact#�slf <br /> between�he hip(�est Point of the dlsfance between q1e <br /> to the lovVpoiM ot,the rArre highesf Pblrstof,3he�ioof f� <br /> • 'SUBTRACTION 9able nr I�fpped roof 'the lowrpwtif�f fMe` <br /> correspondi�g gable or <br /> (B/�9ED ON . GABLE(�R 1-11pPED ROOF 511�TT�A�TION1 � hipPed(c�of <br /> ^ I�E30F TYPE) windows�: SuMract hai#tti distance (Si4SED ON . GABLE QR�FIIP.P.�O'ROEQF, <br /> , � between�he top of th�Y3 est �� � ROOF IYPE� . � {wi�h�!titindow�);:Su6tract . <br /> windOw a�d tlie hiqhe ,ppi[M of the "4. �h8l�the'di�ah+De;`betinrean <br /> roof � : the,t¢p�f�e,Htgh�s#: . <br /> • ALL OTH�R RO TYPES(flat, �nnndovi�at�d.#�e,firghest ' . ' <br /> : mansard.�. ): subtractfon; , . .pWtt{of the foof�; - <br /> � . SUB1'F.2ACTIOM; S�btract the di 'be{ween tlae • -{A t m�nsa d t�c NT�!P�� <br /> .(BASED ON basemenUcra pace floor an�the. <br /> .�n ,8 <br /> . EXISTING highesi ezisU �ade S�dJ�cent to!he AD[�171� ddthe distance�etweeh the t�,p <br /> ' GRi4�ES) f�wndatl�n �fe�t{wh�chever is le,ss). SED ON :" ot"slab.�ind tlae hi hest zAe sti ' <br /> � 9 � <br /> EQl1AL3 Defl ildl helght. � .T!��a gy8tle adjACeht to Y�i@�ftiundatioi�: <br /> � �. .� '� � � .� � ' � � � � � :� � � � �UAL ° � `Ctefin�rd buf� in � <br /> W �ltsi�ht ; <br /> � "s <br /> 9hoteland Dlstr�ct .M�W[)Permi# Average Lakeshirre S�tbaCk <br /> _ _ Il��t?. �� `�uif ���; <br /> � Yes � : G o Permit Number: � Yes C7 No G N/A -: Yes, :ti iVo <br /> �l WA-se� attached Se�ba . <br /> � Stormwater ual�ty Existing Hardcover Proposed . : - <br /> Overlay j�strict Q Hardcover Variance Re uireci <br /> Tier circle orte. .� (/o and s� 0 4 ; CU�Req ' ed <br /> /o and s- <br /> � � Yes tE No 0 Yes O <br /> 1 2 3 4 5 TYPe(S). Type(s): <br /> , <br /> ` Updated: January 2015 �`, <br /> z:\formslplan review checklist 2075.docx <br />