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. P���� ������ ���������: f�� ���� ��r������� � �.c�������� <br /> Address/FID/Legal: �I� L v� L„„� n�/�bC <br /> Description ofwork: h�iNrs�f �o�. .�,v Ce,,,✓� Lc,,-vtL <br /> Septic eeview by: r�/� Date Approued: . <br /> Zaning revie�r bY� D�te Apprcved: <br /> Buiiding review b�►; �,.,,,._._ Da#e Approved: 3-t� -2a� I <br /> Grading review by: �t�- Date�4,pprovecl: <br /> ' Zoning Fi�e#:. Resolution#: Resolution Qate: <br /> ' Zonin District �ire Qe artment Past O�ce School District <br /> , <br /> : Zo ing; Lot Area: SF/AC Width: . Depth: <br /> ` Surve Submitted: Q Yes C!No Date:o#Survey: '. <br /> ; <br /> Pro osed etbac�cs: .. <br /> ; Front(Lak Rear(Street) ( N Side � � � � Sic4e � � Oth Buildings, W�tiancf <br /> ; <br /> Building Defined Height: Buildir�g Peak Height:. #o#Stories Ok?: CJ:Y�� <br /> � FOR A B111L'DIN6 WITH A BASEME OR CR,0.aM11t.SPAC�C FOR UILDINlG ON A SLAB FOUWDA?ION: <br /> ST�tRT WITH ' the distanCe betwe the basemen#floor!wawl RT the tlistance between�he slab antl the hi�lte: <br /> -space floor and the h� esf roof peak,the toP.of . TH roof peak,the top of the.comice`.of a flat roof <br /> ; the caml�e of a flat rop, e deck iine of a ` the decl�line of a mansa�d roo#,or tMe . <br /> ! �mansaCd roof,or the uppe ost point on a rot�ntl uppermost poin't on�ro€�rrtl or otfier a[ch-ty� <br /> . ar other arch- e roof � roof ' <br /> SUBTRACT haff the.distance between the h� est,wir� arid 8�i8TRACT �half,the�distance'betuue�n t�ie,highest windoy <br /> : ' hi hest ropf�e k of a' itch�d:ron � anc�hi hest ro,n ' eak af a' itr,hed roof . <br /> � , SU87F2ACT_ the distance lieS�nreen the basement �crawl J�DD the tlistance between#he siab�nd 4#ie highe: <br /> space:floor and the higfiest:e�as#ing `a within: -existin --ra e withi�.the found'a�ion <br /> � the founda#ion'or 10 feet,whic�he r,is t�s,. - EQUALS D�tined tZuildin";I�ei �ht ; <br /> 'EQUAL� befined builtlin' hei ht` -` � <br /> . :: <br /> . <br /> . . F. <br /> � - <br /> t Lot Co�erage: S� % <br /> � Shoreland Di�trict CVEfD'I�ermit��Received era e Lakeshor�Setback BIufE <br /> ` ` a Yes G No`' " G N/A ' � 1] Yes , ` � h!o <br /> �� Yes �� � ��'N � � � � C1��Ye � � �0 1�0 0 NIA; � �`� <br /> Permi#Number. �. ' <br /> S�tt�ack:. <br /> Hardcaver ones Existih Pro o�ed � �aeiance ` "uirEd � � CtJP.Re, a�red <br /> , 0 5', - t�. Yes' No � -Yes . :; � No <br /> 5-25U' ° T�p�(�): Type(s).: <br /> 250-500' , _ , . ' , <br /> 500-1000' _ <br /> REMARKS (in-house): etrC� C�a�6� <br /> Upda#ed: 09/11/2009 <br /> z:\forms�plan review checklist.doac <br />