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. ���� ���c�� �����c���-� ��� ���� �����r���� � �:�������� <br /> Acf�ress: /� �� �C9s�!C� �i �t � Permi�f�o.: <br /> Descriptior� of rnrark: F��C� �° C(C e� �Q I�'`!� �at�i�ec'd: <br /> Septic review hy: _ Dat�Approved: <br /> �oning reviewr by: .�. • ` . Date �-- <br /> Approved: �� l S"— <br /> Buiidin review b : � <br /> 9 Y . Date Approved: .�� � <br /> Grad�ng review by: � ------- Dat�Q.pprovecE: <br /> Zoning District: Zoning File#: Reso#: Reso Date: . <br /> Zoning: Lot Area: SF/AC Mlidth: Lot Govecage: SF % <br /> Survey 3ubmitteci: ❑ Yes C! No Date of Surve�: Revised date(�)� <br /> Pro osed Setbacks: <br /> Front(Lake) itear(Street) � �' S E V�► 3 ( �! S E 1!V } Other 8uildings YIletland <br /> Sicle Side <br /> . Defined Height: P�ak F{�ight: FFE: F�E minus 6 feet= ` (Existing Co.ntoL <br /> Rerimeter(linear feet)= 50%= L.F.he(ow grade #of Stories . <br /> FOR A BUILDING WITti A BASEfiAEkT OR CR/iWC SPACE: FOR A BUILDIPlG ON A SLAB FOUNDATtON: <br /> The d(stance beM�en the lowest proposed The distance beiweer�the top bf <br /> S'fART WiTH floor(of the basemeM or crawl space)and START WITH slab and the Alghest po(nt of the <br /> ` the highest point oFEhe roof. � . roof. <br /> : If yau have a..: If you have a... ' <br /> : • GABLE OR HIPPED ROOF,(no • GABLE OR NIPPED ROOF <br /> windovvs): Siibtract-hali the disfance (no w1n[lowsj: Subtract half <br /> between the highest poin4 of fhe roof the dlStanCe petween the <br /> ` to the low poirtt of the conesponding hig�est point of the roof to' <br /> SUBTRACTION gable or hipped roof the low point of fhe <br /> - (BASED ON correSPonding gable or � <br /> + GABLE OR MIPP�D ROOF(wittr SUBfiW4GTION hipped roof <br /> ROOF TYFE) window+s): Subtract haif the distance (BASED ON . ` CaABL,E OR liIPPED ROOF <br /> befiveen the top of the hi hest ROOF TYPE ' � <br /> � (with windotirs): Subtract : <br /> window and the highest polnt of the , half t#ie distance between <br /> roof _ the kCp of the highest <br /> • AlL OTHER ROOF TYPES(flat, window and the highesf <br /> mansard,etc);No subtraction: : point of�e roof <br /> � SUB�RAC710N Subtract the distance between the • ALL OTHER ROOF TYPES <br /> (BASED ON basemenUcrawl space floorand the (flat,rnansard,ete):No <br /> �X�STING F�i herst extstin 5 _ . <br /> 9 9 grade adjaceni to the AbDRION Add th�distance beEween the top <br /> GRADE'Sj foundaYron OR 1`0 feet(whiehever is less). fB�ED ON of slab and ihe fiighest ezPsiing <br /> ' EQUALS Deflned building helgM ` EXISTING grade adjacent#o the foundaUcSn. <br /> GRADES <br /> �ClU,'LS Defieed building height <br /> �hcsrelandDistrict MC�+ND Permit Average Lake� ore Setback Bluff <br /> Nf�t? <br /> . � Yes � No Permit Number. 0 Yes 0''No Q N/A 0 Yes [7 No <br /> 0 N/A—see aitached _ � Setback: <br /> Stormwater Quality Existing i�arc�cover �'roPosed : <br /> Overlay DistrEct (qo and s� Karcicover Variance Required CUP Required <br /> Tier circle one %and s <br /> � Yes I� No CE Yes � No <br /> 1 2 3 4 5 Type(s): TYpe(S)� <br /> Updated: January 2015 <br /> z:\forms�plan review checklist 2015.docx <br />