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�'L�,f�t ������.� �f��C��,[��` F6)t� f�E� ���������5 ` ��I?[T�Q�C� <br /> ' �'� �`�' '��" �V 2.�i� -�q�`. <br /> acf�fr�s�: ; k �-' ��� • l-t ` � � Fermi�No.: --� <br /> D�scription af vrcrk: ��'��`ll Yvu��� D�te Rec'd: � � '" � <br /> � -------..e <br /> Septic re�►iew hy: -�� Date Approved: <br /> �oning review by: �i� Date Appraved: � <br /> Building review by: `-- Date Approv�d: """'� <br /> Grading review by: �- Date 14pproved: .���c-�T-<.5� <br /> Zoning DistrEct: Zoning File#: �� "��� Reso#:��� Reso Date:��� <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey SubmEtted: Q Yes 0 No Date of Survey: Revised date(?): <br /> Pro osed Setbacics: <br /> Front(Lake) Rear(Street) ( � S E V�l ) ( N ' S E W ) Other Buiidings IMetiand <br /> Side Side <br /> Defined Height: Peak Height: FFE: fFE minus 6#e�t= (Existing Contour <br /> Perimeter(linear feet)= 50%= L:F, belaw grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A 3LAB FOUNDATION: <br /> The distsnce belween the lowest proposed The distanee between the 4op of <br /> START WITH floor(of the basement or crawl spaoe)and StART WITH slab and the h,iphest point of the <br /> the highest point of the rooi. _ _ roof. <br /> If you have a... If you have a.: <br /> • GABLf OR HIPPED ROOF <br /> • GABLE OR HIPPED ROOF(no (no windows): Subtract half <br /> windows): Subtract half the d�'st�ance the distance between the <br /> between the highest point of t11�roof highest point of the roof to <br /> to the low pant of the corresponding the low point of the <br /> SUBTRACTION 9able or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR.HIPPED ROOF(with SUBTRACTION hipped roof . <br /> ROOF TYPE) windows): Subtract haH the tlistance (BASEU.ON . GABLE OR HIPpED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> � wfndow and the highest point of the half the distance between <br /> �{ the top of the hfghest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> mansard,etc):Wo subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SWBTRACTION Subtract the distanee between the (flat,mansard,etc):No <br /> {BASED ON basemersUc►awl space floor and the subtfacUon. <br /> EXISTING highest existing grade adjacent to the ADDITlON Add the distance between3he top <br /> GRAD�S) foundation OR 10 feet(whichever is less). (BASED ON of stab and the highest existing <br /> Et2UALS Deflned bWlding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> - Average Lakeshore Setback <br /> Shoreland District MCWD Permft Met7 $�uff <br /> Yes 0 No Permit Number: � , � Yes 0 No N/A 0 Yes No <br /> O WA—see attached Setback: <br /> Stormwater Quality Existing Hardcover pfoposed <br /> Overla�Qistrict o Hardcover Variance Required CllP Required <br /> Tier circle one ��o and sfl %and s � <br /> Yes � No � Yes No <br /> � 2 3 4 5 ���� T s); Type(s): <br /> � 1��� �� �� � . <br /> Updated: January 2015 ��,� � � <br /> z:\formslptan review checklist 2015.docx <br /> ��C� <br />