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' EI����� ������ ��������� ��� ��� ���������� � ���'������ <br /> � Rddress: _ �1 �j O (�4- ��n�,� Perratit hto.: '7-`�� �_ !�0 Zo Z <br /> Descri�tion of HroMc: SNK�Nv) �D�-� �,� ��,���,� p��e Rec'd• Z'�"�'�5 <br /> Septic r�view by: 1'U 119 Qate�4pproved: <br /> Zoning re�riev�by: �'��`'' Date Approved: <br /> __ _ <br /> Builcting review by: �� Date/�ppraved: Z-IS- Z��S <br /> , Gcaciing revierK by: �✓ p Dafe Approved: <br /> �oning District: Zoning File#; Reso#: Reso Date: <br /> Zoning: Lot�Erea: SF/AC I�idth: L�t Goverage: SF % <br /> Survey Submitt�d: � Yes � No Date of Sunrey: __ Revised date(�)• <br /> Proposed Setbacks: : <br /> Front(Lake) . Rear(Street) � � � E W ) ( P� S E t�► ) Other Buiidings �i,►etl�nd <br /> Sic�e Sid� <br /> Oefinec! Height: F�eak Fleight: FFE: FFE minus 6#eet= <br /> _(Existing Contoi <br /> Perimeter(lin�ar feet)= 50%= L.�. below,gracf� #Qf Stories <br /> FOR A BUILDING WITH A B�SEAIiENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATIOI�E <br /> tha distanc�between the lowest proposed The distance�etween the top of <br /> START WITN floor(of the basemeM or crawl space)and START W ITH sl�b and the highest polnt af the <br /> , the highest point of the roof. <br /> roaf. : <br /> If you have a:.. If youh8ve a... <br /> • GABLE OR HIPPED ROOF(no • GABIE OR HIPPED R00F <br /> windows): Subtracthatf the distance . (no windows): Subtract haN <br /> between the highesf point of the roof the distance between the <br /> to the Inw point of the porresponding ht9hest point of the rc?of tq <br /> SUBTRACTfON 9able or hipped roof s tNe low point of the <br /> (BASED ON' corc�sportding gable or <br /> ROOF TYPE ` GABLE OR HIPFED ROOF(with SUBTI�ACTION hipped roof <br /> � windows): Sybtract haff fhe distance BASED ON ` e <br /> � GABLE OR HIPP�D RQOF <br /> - between the:fop of the highest - ROOF TYPE? : (with wintlowsa: Subtra¢t <br /> windowand,the highest point of the ' hal�the distance be�een <br /> roof fhe top of the highest <br /> • ALL OTMfR ROOF TYPES{iiat, window and the Yughest <br /> mansard,etc):No subfraction.' poinl of the roof.: <br /> SUBTRACTION Subtract the distanee between the • ALL OTHER ROOF TYPES. <br /> (BASEU ON basemenUcrawl space floor and the �flat,aiansard,etc):No <br /> EXISTINC,. highest existing grad"e adjacent to the' su4 otioq. ', <br /> GRADES) foundation OR 7U feet(whiehever is less). ADbiTION- Add t e tlistance between the tbp <br /> (BASED ON . of,siab and the Mtgtsest exisling. <br /> fQUALS Defined building hetght � EXIS7ING ' <br /> �RADES 9�de adjacent to tfie foundation. <br /> - E1�UALS Defined building-height <br /> &horeland Distr(ct �illCiND Permit Average Lakesfiore Setback $i�� <br /> _ Nfet? <br /> � Yes p wo Permit Number. � Yes 0 No Q NfA Q Yes C! No <br /> 0 NJA-see a�tached Setbaok: <br /> Stormwater Quality �X�Sting Hardcaver �'roposed <br /> Overlay District (��o and s� �ardeover Variance Required C!!P Requir�d <br /> Tier circie one %and s <br /> 0 Yes C1 No C� Yes Q No <br /> 1 2 3 4 5 TYpe(S)� Type(s): <br /> Updated: January 2015 �,� `����r <br /> z:\forms\plan review checklist 2015.docx <br />