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���.� ��������� ��������� ��� ���� ���������� � ���'������ <br /> �d�cesslPerrn�t t��rnb�r:_ ��� ����� ���-r�.� <br /> Descrb�afion of�r�rk: ��C'�-P�i�J �1..�^O t,�.t.� <br /> Septic cevieHr i�y: �/S� D�te�►pprmv�d: <br /> Zor�ing eevi�w bY: � � Date Qpproved: <br /> Building e�view b�►: Date Approved. �'��'?�/y <br /> Gr�cliRg reviev�►by: �/� Dat�ApprovecE- <br /> Z in� Dpstrict: ZoRing F�{�#: Reso#: Resa Date: <br /> Zonin�: /�rea: SF/AC �'icith: �Qt Coverage: F _% <br /> S�rvey�ubrni C�Yes E� No Date ofi Sunr+�y: Revise ate ? ; <br /> Pra osec� Setback�: <br /> Frcnt(Lake) R� (Street) � � � � � � ( � S E � ) Qt e�Bt�Eldings We�tand <br /> �id� Sit�e <br /> aefin�c! F�eEght: P�ak ight: FFE: FF minu� 6 fe�t= (Existing Contou <br /> P�rirn�t�r(firtear teet)= 5a°o- # Stor�es Ok? �YES <br /> FOR A BUILDIkG WITH A BI4SEIIfiEkT OR CRkYVL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATtON: <br /> START WITH proposed floor(of tMe basement or <br /> apace)and the fiighest poinf of the roof. The distanee between the top of siab an <br /> START WRH �e highest poiM of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPEb ROOF(no <br /> windows): SubUad hatF the windows): Subtract half the distan <br /> distance between the highest p nt between the hi hest <br /> of the roof to the low point of e 9 point of the rc <br /> SUBTRACTION corcesponding gable or hip d roof to the Iow point of the correspondii <br /> SUBTRACTION gable or hipped toof <br /> (BASED ON RbOF . (',qg4E OR HIPPED R F(with (BASED ON . GABLEOR HIPPED:ROOF(with <br /> TYPE) windows); SvbtracYh the ROOF TYPE) windows): Subtract helf the distan <br /> distance between t top of the between the top of the bighest <br /> highest window a tfie highest window and the highest peint of th <br /> point of ihe roof. ruof <br /> ALL OTHER OF TYPES(flat, • ALL OTHER ROOF TYPES(flat; <br /> � mansard etc:No subt[adion. <br /> mansard,e :No subtracFron. qD ION Add the distance between the top of sia' <br /> SUBTRACT�ON Subfract the di nce between the (BASE ON and the hiphest ex�s6ng grade adj8cant <br /> (BASED ON EXISTING �S°�� �space floor and the EXISTIN fhe found5tion. <br /> GRADES) highest eb ng grade adjacent to the GRADES <br /> foundatio OR 10 feet(whichever is less). EQUAIS Defined bullding heigM <br /> EGUALS 13efin buiiding heigM <br /> Shor�l�ncf t3istr�ct t�iCIMD Perm��Receivecl Aver� e Lakeshore Setback Niet? Bluff <br /> t� Yes � t�o C3 �/A Yes C! N� <br /> � Yes No � Yes E� Na 0 N/A <br /> Permit Number: Setba • <br /> St�rr��ra r(��airt�r ` ExcsYi�n� �ro�o�ec� �ariar�ce Requicecf CUP �ec{�ired <br /> ��erta istrict Tier i��rdcQder liardcov�e <br /> 0 Yes C] No !� Yes E1 No <br /> Type(s): Type(s): <br /> Updated� January 2013 <br /> v:\formslplan review checklist 2013.docx <br />