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<br /> - ��.�,� t������� ��������-� ���t ��vv ��-����-���s / �Q�E�-to�s
<br /> Acldress: J? � Y'! ���? �' Perrnit No.:�1�f��_O(�,�f-�--
<br /> Description of work: _ �/�� �a���',P /� ��`, Dafe Rec'd: � � �
<br /> �eptic review by: � �l�s�'�,�' Date Approved:
<br /> Zoning review by: .,;� Date Approved: '""--"" �
<br /> � Building review bY: � �V Date Approved:
<br /> ; Grading review bY: � Date Approved: ` �--- ---=
<br /> Zoning District: Zoning file#: Reso#: Reso Date:
<br /> Zoning: Lot Area: SF/AC Width: Lot Coveragec o�,
<br /> Sarvey Submitted: 0 Y 's Q No : Date of Survey: Revis d te ? :
<br /> ' Pro osed 3etbacks:
<br /> Front(Lak$) �2ear(Street) { �! S f W ) { N S E W ) pt ` B�xildings I�Vetland
<br /> :8ide Sicle
<br /> Definsd Heigh�:. � Pe�k H�i �FE: Ff.E �nus,6 feet=__ '(Existkag'Contoi
<br /> ,� � ��
<br /> , Perimeter(linear feet;).� 50 = � :L.f,betow�tade #af$tor'�es :
<br /> FOR A BUILDING WITH A BASENiENT OR CRAWL SP E: F�R UILDIi�iC3 ON A$L�k6�pUNDAT�QN:
<br /> The dis nee belaveen lOwest ptpposed , , , . � ; tl �
<br /> T}ie sfa�ce,!#efia�ee�t�e top M-
<br /> . �i�AR�'WITH floor(of•the baserl�nt or r�wl�space)a!x! . STA137 WIFH`. �s(ab�nc�ihe.�nghes[p6Cnt of tlie�= . ;
<br /> , '. - tAe hig' ;t Aotnt flf:the r� .-_� .- " . 'roof E - '•'� � .
<br /> .
<br /> : If yoe h�Ve a... If you haW�'a: . .
<br /> • G746LE OR HIFPED QF(nq, . • GAB1,E OR NIPPED ROOF
<br /> w�ndows): Subtract ha the di�tsnce `. f�p 1��IdoN+s�i��6tra�t half
<br /> t�tweenihehtpf�est�po of'�erisof xFte�lstehcebetweer�Xhe.
<br /> to�the low polnt of the ca spo�di M9hest;�oint of 1fi�roeE to
<br /> SU�TRACTtON gable or hipped roof, the Ic�riv'poiRt oF fh�
<br /> � F$AS€D�6N ��, , � cori�spondln8 9�ble Af
<br /> ' G,�BLE OR HIPPED RtJO 311�7R�1CTfON hipp@d=�oof °
<br /> ( 1dOO�TYREj wihdows): Subtractfial��tt�� 'n�Ce (BAS�DOId .- • .' �ABL�OR1'�FP�tIFEObF "�
<br /> . be�ween the top of the,higM �C?F 7Yi?�): {W�t!Wtndbws}'subE�act ; ,
<br /> wibdow antl�e h�phestp the_, ` haff�dtstan�e�etuKeer�,.
<br /> , , � • �
<br /> , robf ., , .. >.
<br /> th�fop�f�hehtgM�f
<br /> ; � • � ALL�OTHE#`t RQO�. �E�(fl�ft,'�� _ vmpdo�ni�ad tis��ii�hes� .�
<br /> i ` � �n�nsard�e�c�:No�s}� ` �pR • P�1hib�`ltae rc�[� �.
<br /> •, �. ALL 0`kti�R F{��'TX;P�$. �
<br /> 3U6_Ri4C71bN : ubtr�Ct;_ �.dista[+� r�the (fl�t,.miansard,�tc� N0'
<br /> (BASt'D 4N b�sBm�ifUGravYl 3OeCe O[8%1d t11�, � � . �r � Su�airae` r . �- ��
<br /> . �xisTir�o �n�n�st �sdr�g grade d)a�,ent to u�e. . ' � t�ru� �zda e�ai,��e n��een��t�
<br /> • Gf�AD�S) foundati�n OR 1D f (rMii�Fiever s�Jess).
<br /> QUAL3` �lefiped uif iri (SA��D OM : of slab�r+d 11�e di�hestexisUag
<br /> - 3: !� � �M' -� ` ;, . ��wG . "� ��dead��en�t43herour��wn: .
<br /> , E�','
<br /> ,
<br /> QCl�►L�. befired,{►�IIdtllgtt�ight ".,
<br /> .� , .-; �� � ,� �=
<br /> ; . ,
<br /> ;
<br /> , , .. ,
<br /> .. �
<br /> �, � `�,
<br /> ; Slioreland D'rstrict: . ,' IVICWD Pet�mai# � verage l:�l�estrere,�etb�ag#c .;BI�ff` '
<br /> .
<br /> � , ,
<br /> IIAe#� .
<br /> i3 Yes � No- `P it�Vumber � es t7 NQ ' ;=1� N%A t1 Yes'. - � No
<br /> .
<br /> N1A�see attachec! Se�ack; �;
<br /> . . . . . _ . _ .
<br /> . , . . , ..
<br /> ; Storrnwafer Quality : ` Proposed
<br /> E sting Harcic ver
<br /> Overlay District , � . Hardcover Vari ce��equiced ° CUP Required
<br /> Tier circte one (/o and sf� � a/o�and .
<br /> O Yes � C7 No � Y8s C No
<br /> � 2 3 4 5 Typ�ts)� �YPe�s)-
<br /> Updated:`January 2015 ' ,
<br /> z:\fortnslplan review checkiist 2015.docx
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