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, �L�.�E �.���[��` ��E��C�E�� �6�� ���' ��`�f���"t���� � �����'��t�� <br /> �ddress: _ �� ( G�,r v�NC� vl P�rrnt� �la.:_ ZC���j=o�'�;7' <br /> Descriptian of�ork: Date F�ec'd• <br /> Septic revi�w by: Date ap�rcveci: <br /> Zoning review by: Date�ippr�vec�: <br /> Builcfing review by: ' Date fi►pproved. /� / <br /> Grading review by: Date A,pproved• <br /> Zoning District: Zoning File#: Reso#: Resa Date: <br /> Zoning: Lot Area: SF/AC 1AfEdth: �ot Coverage: gF o� <br /> Sunre�r Submit�ed: Cf Yes 0 Date of Survey: Revised date � : <br /> Pro osea Setbacks: <br /> Front(Lake) Rear(Street) ( � E � ) ( N S W ) Other Buiidings HtiEetlanc� <br /> 'de S' e <br /> Deftned Height: l�eak Height: FF�: FFE minus 6 feet= (Existin$ Conto <br /> Perimeter(linear feet)= 50%= L.F. below grade #of Stories <br /> FOR R BUILDING WITH A BASEMENT OR CftAWL SPACE: FOR A BUILDlkG ON A SLAB FOUNDATIOht: <br /> The distance between the lowest p The distance between the top of <br /> START WITH floor(of the basemeM or crawl spa )ar►d START WfTH slab and the Mghest poini M the <br /> the highest point of the roof. r�. <br /> ff you have a... tt you have a... <br /> e GA$LE OR HIPPED OF(no • GABLE OR HIPPED ROOF <br /> windows): Subtract If the distence (no windows): Subtract half <br /> beriveen the h(ghes polnt ef the roof the distance between!he <br /> to the low point of e conesponding highest poirrt of the roof to <br /> SUBTRACTION gable or hipped the iow potnt of the <br /> (BASED ON corresponding gable or <br /> ROOF TYPE ' GABLE OR HI ED ROOF(wRh SUBTRACTION hippecJ roof <br /> ) windows): S haH the distance (BASED ON . GABLE OR HIPPEb ROOF <br /> between th op of the highest ROOF 7YPE) (wflh windows): Subtraat <br /> window an the bighest polM of ffie ' half the distance between <br /> roof the top of the highest <br /> • ALL OT ER ROOF TYPES(flat, wlndow and the highest <br /> mansa ,etc):No subtraction. poiM of the roof <br /> SUBTRACTION Subtract th distanee between the • ALL OTHER ROOF 7YPES <br /> - (BASED ON baseme rawl space floor and the (�b�ard,etc):No <br /> EXISTING h( hest IsU subtractbn. <br /> 9 n8 9r8�adjacent to tlte AQDITION Add the dlstance betvveen the top <br /> GRADES) faunda` OR 10 feet(whichever is less). (BASED ON of slab and tlie highest existing <br /> EQUALS etin buiiding t�efgM IXISTING grade adJacent to the foundaiior►. <br /> GRADES <br /> EQUALS Deftned buildtng hetght <br /> Shoreland Dist�iet MC�fW Permit Average keshore Setback Bluff <br /> Nfet? <br /> C] Yes p � Permit Number. 0 Yes No 0 WA 0 Yes p No <br /> [] WA-see attached Setback: <br /> Stormwater Quality Existing tiardcover Proposed <br /> Overlay District o Fiardcover Variance Re uired <br /> Tier circle one (/o and s� %and s 4 ���Required <br /> � Yes � No E3 Yes G No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:Cfortnslpian review checklist 2015.docx <br />