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r— Average Lakeshore Setback <br /> �hor�tanc4 District 14�Gi�ilE�Ferr�it �eg? Bl�.�€f <br /> Permit l�umberc fl Yes � No p N/A � Yes CI <br /> Cf Yes t� No No <br /> E� N/A–see attached Se#bacic: <br /> Stormwater Quaiity Exist�ng Proposed <br /> Overlay District Tier Hardcover Hardcflver Vsr�ancs Requirecf CUP Required <br /> circle one %and s :%and s <br /> : [7 Yes Q No i] Yes ' 0 No <br /> � 2 3 '� � TYPe(�); TYP�S); <br /> Fe�s to be Cha ed: . : Y�$-;`,�v :�. 3 ��O. ...� <br /> F y f <br /> .. � . �� 'r' :1- i.. }.' . � . <br /> F!�Fli1 R@Y�@W v �� <br /> ; � .. . . >�' ���k �{. s: i'Z k � i: - ��� � �.�' �~F ,'i�' _ -�C+ . . � <br /> Investigation Fee t,/� <br /> ���-�tu�:�f�A����`" � r �w� _� � a :�' -= <br /> . . . <br /> , ,, <br /> :. <br /> .. . .= y.� � ., , <br /> - �.� <br /> Other{�peci#yj j/'� <br /> S uare Foota'e S er S t��re F�ota e' <br /> Basement X ' � " <br /> 1���oor : X , �, � _ <br /> 2^�Floor X = � <br /> Garage : X $ <br /> Estimated Constructiop Vai"t�e: � ����✓ <br /> � <br /> Orano 1ns#�ections Rer�uirec! ' -_ : Work Requiring Separate Peri�ks <br /> r� Footing . ' � �ite� �lurribi�g '�1 ,�rading/Fi�lin� <br /> �,Poured V�lali L3 ��It�er►ce/Erosion Con�roi t �Nied3an�cal . � Fire : <br /> L3 Fo�t�datEon Sunrey:: � .Hardr.over Remov�l , CI 3�p�c : �7 Wat�r�nne�tion <br /> • n �o�radation Wateiproofing �t7 Oifiertspecify) ` ' ;� .FirQplace` �i _SeWer�onhectior� <br /> frari�ing Z3 Nlas�nry � ��.13-.�wn:lrriga�on� <br /> insulation =�7 A�lfg. . � ,L�nd�caping <br /> Li As�v[It Survsy , `Q 'C)ttier{sP�Y) <br /> _ �`Fina1 . ,_ , : � ; , , <br /> � La'kh� '` Requ�red S#ate•Rern�lt� <br /> � �.�Other(speci�� � � . � <br /> ' �� _ � � ..- � � � � ' �-;:: fl,1fVe11 ::,',�: =.;�:r � � _Eleotric�l��- _ � , � <br /> 'REMARKS-(in t�oi�se): ,- <br /> � _ . <br /> � <br /> , . <br /> r ' , , : <br /> ; �� �OFF�CIAL R��I�IARKS-�T�O�E�NOT�D 01� �ERMTT AN��IM�lAt�.ED: ' � � � � �` � �� <br /> , C! See Buitder Acknowledge�ent�orm' <br /> : 0 Prior to celease of esc{ow�noney an as-built survey and h�rdcover caicuiations must b�submitt�d and approve�. <br /> , . <br /> ' Updated: October 2095 <br /> � r\fnrrr+clnlan roviPw r.hor41ic4 1f�7M.r,rinnv <br />