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L +��[�; ���t��C' ����.t����� ��� C�L�CC� ��[�i�� t Y.d��� � �L�������� <br /> I�dctr�s�/Permft[�umber: �`s �") L,,f t�r�1r��'•n;l� �v� <br /> De�cri�tion of work: ��t��Z <br /> Septic review bY� �l� Date Approvecf: <br /> Zoning re�i�w by: /�! ✓� Date Approved• <br /> Buitd�ng review bY� D�te Approved: `� ^'"3 �% - /� <br /> Grading review b�►: �+i /"`E D�te�pprovad: <br /> Zcning D1s#rict: Zoning FEIe#: Reso#: Reso Date: <br /> � <br /> Zori : Lot Area: SF/AC 1�idth: Lot Coverage: % <br /> S�rvey S ifted: 0 Yes i� No Date of SurveY: Revised te � : <br /> Pro osed Setb ks: <br /> Front(Lake) ear(Street) ( � S E 1E"il ) ( N S E Il�il ) Oth Buifdings Wetland <br /> Sid� �i8e <br /> Defned HeEght: P k H�ight: FFE: FFE us 6 fest= (Existing Contou <br /> Perimeter pine�r feet)_ %_ �of�t ies Ok? �YE5 <br /> FOR/i BUILDIA�G 1MT#i A BASENiENT OR CRAWL Sp � <br /> The distan�belween the I t FO A BUILDING ON A SLAB FOUNDATION: <br /> START WffH propos�d floor(of the ba�ment crawl <br /> space)and the highest point of the ef. START YVITH T�distance between the top of slab anc <br /> If you have a... the highest poiM of the roof. <br /> GABLE OR HIPPED ROOF(no If you have a... <br /> � windows): Subtract half the • GABLE OR HIPPED ROOF(no <br /> distance between the high�est point windowa): Subtract 11a1f the distam <br /> of the roof to the Iow point of the between the highest poirrt of the ro <br /> SUBTRACTION correspunding gable or hipped to the low point of the cortespondir <br /> (BASED ON ROOF SUBTRACTION gable pr hipped roof <br /> • GAB4.E OR HlPPED ROOF{ (BASED ON . GAB�„E pR HIRPED ROOF(vvith <br /> TYPE) windows): SubVact haH th ROOF TYPE) windows): Subtraet half the diatarn <br /> distance between the top the between the top.of the hiphest <br /> highest window and th ighest windowand the highest poiM of the <br /> point of the roof ropf <br /> • ALL OTHER R TYPES{flat, • ALL OTHER ROOF TYPES(flat, <br /> mansaM,etc):' subtraction. mansard etc`.No subtraction. <br /> Su ct the dista between fhe ��ON Add the distance betw�een the top of sla6 <br /> SUBTRACTION ( D ON and the highest e�dsfiing grade adjacent t <br /> (BASED ON EXISTING basemeM/crawl paee floor and the EXIS NG the foundation. <br /> GRADES) hiphest existi grade adjacent to fhe GRAD <br /> foundation 10 feet(whicheveris less). EQU Deflned building heigM <br /> EQUAL3 Defined ullding hetgM <br /> St�oreianci District MCWD Pertnit Received Avera e Lakeshore�etback et? Bluff <br /> � Yes � No 0 N!A Q Yes Ct Na <br /> 0 Yes � Q Yes 0 No 0 N/A <br /> Permit Number: Se`�back: <br /> Stotmwater Q ality► Existitt� �roRaSed �►�riance Re�uired CUR RBc�uire <br /> Overla Distri t Tier Hardcover Harc�cover <br /> C2 Yes 0 No � Yes � No <br /> TYPe(S): Type(s): <br /> Updated: January 2013 �,,,�� ����.�,�� <br /> v:\formslplan review checklist 2013.doac <br />