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��.�,� ���'C��,� �I�����E�T° C�� ���6� T'E��C�'�l�E� � �����L��� <br /> Aciciress/Permit f�urr�ber: ��� ��� ��� <br /> , Descriptiort of�r�r�: �� ���1���'✓�`-� �' ��G�l�1 �� � <br /> Septic review by: �" Date ApprovecE: <br /> Zoning review by: f/��I� Date Approved: `�2� � <br /> Builciing cevie�bY: - ''3; �'M.�r.�.. D�t��lpproved: y- i - 'z�a �3 <br /> � <br /> Grading r�view by: ,N �<} Da#e Approvecic <br /> Zoning Dis#rict:ti f � Zoning File#: Reso#: Reso Date: <br /> �oning:Lot Area:�yv SF/AC 1h'idth: �ot Coverage: SF % <br /> Survey Submitted: �Yes � No Date of Survey:��Z?i�Z Revised date(�)� � ���` d'� <br /> � <br /> Pro osed Setbacks: <br /> Eronf(Lake) ��Street) ( � � E � ? �' S � 1 Other Buticiings Wetland <br /> ide Side <br /> � ' � a� � <br /> De�ined Height: Peak H�ight: FFE: FFE miRu�6 fee#= (Existing ContouF <br /> Perirneter(lin�ar f�et) = 5D%_ #of StQries Ok� �YES` <br /> ' FOR A BUILDiNG WITH A BASEMEf1T OR GRAWL SPAGE: <br /> � The diatance between"the Iowest FOR A BUILDING ON A SLAB FOUNIDATI01�lC <br /> START WITH prop�ed floor(of tl�e basement or crawl <br /> space)and the highest point of the roof: START WITH The distanCe betwee�t the top of slab and <br /> if you ha�e a... the highest point of the roof. <br /> GABLE OR HIPPED ROOF(no :you have a,. <br /> • wlndows): Subtrad half.the GABLE OR HIPPED ROOF(no <br /> windows); Subtract haif the distanc <br /> distance between the highest point between the highest poirlt of the roc <br /> . of the roof to the low point ofi the � to th8low ppinf of the coriespondin� <br /> SUBTRACTION corresponding gable or hipped roof 3UBTRACTION ' - <br /> gable orhipped rpof. <br /> . _ '.(BA�D ON ROOF . GqBLE OR HIPPED ROOF(witA (�AS�D ON . -GABLE OR H1PP6D ROOF(witit; <br /> windows): Subtract half the ROOF TYPE) windcws): Subtraet halt the distanc <br /> dist8nce between the top of the betNreBn Cre top of tfie highest <br /> highest window and the highest window and the highest poiri�of the <br /> point of the rocf `:roof. <br /> • ALL OTHER ROOF 71"PES{flat, � • ALL OTHER ROOF TYPE¢(flat, <br /> mansaM.etc)�No subtraCtion. • man rd;. :No sUbUadion. <br /> ' ADDITION Atld tlie tlistai�ce behNeen e top qf slab <br /> � Sr�bVact#fie distanoe tietween fMe g g 9rade adjacent tc <br /> � SUBTRACTION (BASED ON antl the hi hest8xisiin <br /> • basemer�t/crawt spece floor and the, <br /> , (BAS�D OW EXISTING highest existing grade adjacEnt fo the ��p S� the fbundation. <br /> GRADES) foundation OR 10 feet(whichever is less}. �qUp,Lg Defined buNding heigM <br /> : -ECUALS OeRned 6uilding fieigM - __ <br /> ' Shoreland District MC�lIfD Permif Received Avera e Lakeshore Sefback Met? 'Biuff <br /> , � Yes � I�o � NfA 0 Y�s No <br /> �Yes C� No CJ Yes 0 No N/A <br /> Permit Number. Setback: � <br /> Stormwater O;uality Existing Propo�ed ����ance Requ�red CUP Required <br /> Overla Di�trict Tier Hardcover Hardcover <br /> �/��� ��� 0 Yes P[o � Yes o <br /> . <br /> ���' � � TYpe�S): TYPe(S). <br /> I�� �o ���� - <br /> Updated: January 2013 <br /> v:\formslplan review chedclist 2013.dopc <br />