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- ���� t�������� ��������� ��� 6`��� �����as����� � �����.���� <br /> Adciress: � �.. �1 � !�� Perr�lt P[o.: ��4J"� <br /> Qescebptien of Mrork: �� � _ /� —g <br /> aate C�ec'tt: d-' � ! °�� <br /> Septic rev���v hY: �_�,,�� �'� Date �� <br /> Approvec�: <br /> Zoning reviewr by: Date Approvec6: <br /> Builc�ing review b�►: Date Appraved: `„�'- "�- '�S'�S� <br /> Grac4ing revievb by: � Date�pproued: 2C°�,�..�— <br /> �aning District: "' C.-t Zoning Fil�#G: Reso#: f�eso Date: <br /> Zoning: Lat e4rea. '._ SF;/AC Wicith: Lot Coverage: SF o�� <br /> � <br /> Survey Submltted: Yes C� No E2ate cf Survey: � ' �q'�� Revised date(�)� <br /> Pro osed Setbacks: � . <br /> Front L � Rear Str � ( H S E -'V1l, �, i0 <br /> � � ( � . � ( � .S �,� � � O�ther Buildings Wetland <br /> Side "' �ide <br /> . . ... . l � � <br /> �e�����?.. :� :� � <br /> Defined iieight: Peak Height: . FFE: ��R .„ FFE minus 6 feet= `° . {Existing Cont� <br /> Ferimeter([inear#eet)= 50�%= t.�. 6elov�grade #of�taries <br /> FOR l4 BUILDING WITH A BASE�ENT OR CRAWL SPACEC FOR A BUILDIKG OI�A SLAB FOUPlDATt01�: <br /> The distance between the lowesi proposed The distance between the top of <br /> ;.�' STAR�WITH floor(of the basement or crawl space)and STqRT WITH stab and the fiighest point of the <br /> ;.. <br /> • � the highest paiM of the roof. roof. <br /> If you have a... , If you have a.;, <br /> e GABLE OR HIPPED ROOF(no ' GABtE OR HIPPED ROOF <br /> � ; winclows): SubVacYhalf the distance (no windows): Su6tract haif <br /> between the h' hest Int of the roof the di&tance between the <br /> � hi hest i <br /> 1, � �"� to the low poiM of ihe�corresponding 9 pcs M of the roof to <br /> SUBTRACTION gable or hipped roof the low pant of the <br /> (BASED ON corcesponding gable or <br /> :. �� �-� � GABLE OR HIPPED ROOF�with SUBTRACTION hipped roof <br /> :� �'" R��F T�'�� windows): Subtract half tFae distance (BASED ON . G/kBLE OR HIPPED R00F <br /> between the top of Yhe highest ROQF IYPE) (witYt windows): SubVact <br /> window antl the hi�hest point of the h81f the distance between <br /> �f' the top of the highest <br /> • ALL OTHER ROOF TYPES(fiat, wiEidcwv and the htghest <br /> mansard,etc):No su6traetion. Potn#of t�e roof <br /> SiJ67RACTION Subtract the distance between the • ALL OTHER ROOF TYPES <br /> � {BASED ON basemenUcrawi space floor and the (flat,mansard,etc):No <br /> subVaotlon. <br /> a;', ` ��. �� EXISTING hfghe5t existing grade adjacent to the ADDRION Add the distance between U�e top <br /> GRADESj foundaUon OR 10feet whichever is less: � <br /> �• � ) (BASED qN of slab and the highest existing <br /> ,�, y� � # � c-, EQUALS ' Deflned building height GRHDES 9ratle adjacsrst to Lhe foundation. <br /> '"� EQUALS Defined building fielght <br /> Shoreland District MCWD PermEt Average Lakeshore Setback B�Uff <br /> Met? <br /> �Yes 0 No P��it Number. ��-�� �, Q Yes O No N1A 0 Yes No <br /> 0 N/A-see attached Setback: <br /> Stormwater�3uality Existing Ha�dcover proposed <br /> Overla�r District o Hardcover �lariance R� uieecE <br /> Tier circle one ��o and sfl %and s � CUP Requireci <br /> �.•��� Z.q:�j�� � Yes Ll No 0 Yes � No <br /> 1 2 �3 4 5 ���S� . �,�D�S � TYPe(S)� Type(s): <br /> l./ <br /> Updated: January 2015 <br /> z:lformslplan review checklist 2015.docx <br />