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���f�.€� ���,�`����.� �E�����.,t�� ���. ���� ���.t��T���� � ��?����t��� <br /> �,dc�ress/R�rcr�it N�m@ec: 1`.��5 M y�Aa.� P�A�� <br /> De��eEptior�of�rark: N G t�.) �� � <br /> Septic r�vi�vr l�Y� �v Date Approvecl: <br /> Zanir�g �evie�r b�: �� Qate Approved: �3`��� <br /> B�ildir�g reviev�bY� Date A�Rroved: �-�- 3m—�3 <br /> Grar�ing review bY- '�� Dafe Approved: 3 / � <br /> Za�ing Distric#: �r-.- ''- � Zor�ing File#: Rese#: Reso Date: <br /> ���� ��� 1�U'� <br /> Z�ning: Lot Rrea: SF/AC 1Midth: l.ot Caverage:= � SF /o �P_'=�� - <br /> Sun'ey�ul�mitfi�d: �es E� �to �ate of Survey: k� ' � � � ';� Revised date(�)�� ��-�"`�� <br /> � <br /> Rro o�ec� Setbacks: <br /> �r�o(Lak�) `R�� Stre�t) ( � S E �i!' ) ( t� ��" E �'ii ) Other�yild�c�g� Wettartd <br /> side �cle <br /> . J 4 � �....��f t i� r . . f � . . . . . .. <br /> p } .�� <br /> � <br /> Deftned Height: Peak H�ight: FFE:����' FF�minus &feet= � .�(F�cistfng Contoaa <br /> Perirrteter(tinear fee€) = 5�%_ #of Stor�es � Ok? YES <br /> FOR A BUILDlt�lG WITH A BASEriliEl�T QR CR/k1A�L SPl�CE: <br /> the distance befween the Iowest FOR A BUILDING OPI A SLAB FOUNDATION: <br /> START WITH �� proposed floor(of tfie basement or crawl <br /> ' ✓—� space)and the highest point of the roof. START WITH T�d�s�nce between the top of slab arn <br /> If you have a... the highest poiM of the roof. <br /> GABLE OR HIPPED ROOF(no ' ifyou have a::. <br /> _ � � windows): Suttract half.tt�e • GABLE OR HIPP.ED ROOF(no <br /> �� windows):•Subtract haifthe distan� <br /> distance between the highest pant between the hi hest <br /> ��� of the roof to the low point of the , 9 point of the ro <br /> i p�ro� to the low poiM of the cArt�espondir <br /> SUBTRACTION Cortesponding gable or hi SUBTRACTION pped roof <br /> : < gable or hi <br /> ; (BASED ON ROOF� . GpgLE OR HiPPED ROOF(with (BASED ON . C�ABLE OR.HIPPED ROOF(with <br /> � �E� windows): Subtract half the ROOF IYPE) windows):,Subtract haif the disffin <br /> dista�ce between the top of the between tt�e top af the highest <br /> highest window and the highest window and the highest point of thi <br /> point of the roof ro9f _ <br /> ��� • ALL OTHER ROOF TYPES(flat; : • ALL OTWER ROOF TYPES(flat, <br /> '„ mansard,ete):Nosubtraction. ' mansard,etc:No Subtrecfion. <br /> � 5ubtrad the disfenee beiween!he �DITION Add the distance between the tcp cf siat <br /> SUBTRACTION (BASED ON and the high�st existing grade edJacern 1 <br /> , :..: .� basemenUcrawl space floor and the EXISTING the foundation. <br /> (BASED ON EXlSTtNG higMest existing grade adjaeer�t to the <br /> �t.J r ' � GRADESJ GRADES , <br /> � i t ^,. �p foundation OR 10 feet(whichever is less). EQUALS . Defined bullding heigM <br /> ; .✓ EQWALS Defined buildEng height <br /> �:,: L� <br /> ShoreEancf Dis#tict ClKE]Rermit Recei�►ed /�vera e Lake�hore�etback I�Ret? BI�fE <br /> Yes Ci No a N/A L7 Yes Nc <br /> Yes � No � _��� � Yes O No �iA Setback: -�_ <br /> Permit f�umber: <br /> �tiQrm�at�r t��c�l�� Exi�€sc�g . ��°apo��� ��riar�ce Req�aired CUP Requirec� <br /> C2veria �istcicY Ti�r k6arc�co�r�r HarcEcover <br /> �� ir`�';�, � Yes :� f�o � Yes No <br /> � <br /> � �; l . <br /> �.-.�' '��/' � s-- TYPe�s)� � TYPe(S)� <br /> �.� f �;; <br /> Updated: January 2013 tr; , <br /> v:lformslplan review checklist 2013.docx` �`;�.� �'�� 1 , ' '." � <br /> . . ,. .:.._ <br /> �_� .._-_ S , <br /> � .� � <br />