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� � <br /> � �c��,�����E���� ��-��������-r ��� �'��,� ���.���r��.�� � t����-�c��� <br /> Address/Perenit Ftusnber: t��� ��t.�% Qt�4 C,�� <br /> �e��cri�tscn e��v��drk: ��e"� � <br /> Sep�ic review lcy: Date Apprcved; <br /> Zo►tir�g r�view t�Y� �� Date APpro�►�d: 2 • ��''�� <br /> �uilcEittg reviernr bY� �ate Apprcved: / - . <br /> Ge�dEng revlern+bY� rr Date Appraved: /� � <br /> Zor�ing Districf: �1_�.'Zonin File#: Reso�k: <br /> � Reso Date: <br /> i.oF ��� tE�,� ..�.« �:,,. <br /> Zonir�c�:iot Are�: SF/AC 1h�€dth: Lot Cover�ge: �"6"�� ����F ��% �� � <br /> Sucve�Submitt�cf: �Yes L� No D�te of Surv�y: _�Z�..�-�� Revised date(�)• ,���'(�{ <br /> Pro ased Sefbacks: �,' <br /> � <br /> Frant( e) R�ar(Street} ( � � E � ) (��! S E �f ) Other Buiidings {f4►etlanci <br /> Sfc�e �,� �icte <br /> •`� � � ,P�~ ° ��� <br /> f,,;' :°`_ � i-3��t <br /> D�fneci Height: -�- � �---✓ P��k i��ig�ht: FFE: �`�•� FFE mir�us 6 f�et= ��{�� <br /> �; �_(Exi�ting Contcu <br /> , Perimeter(lirte�r feetj- a'��-f,., SQ%_ ^�,``°'` • #of Staries �._�:��� �Z- 2�►-�; <br /> ;}, � _?�'_::, �,�l, �.�� � �.; , a � �"° Ok?�YES <br /> i ,�-�,/ � y �.i s;a�:„S i aR�.z.., �._ '..:' u.-`•- , �'�' � ' ''4 r <br /> ,� � FOR BUILDINC=WITH A BASEMENT OR CREIWL 3PACE: °�' '�-� y��c� � <br /> The distance between the lowest FOR A BUILDthlG ON A SLAB FOUNDATIONl: <br /> ��{ ' START WIl'H proposed floor(of the basement or crawl <br /> �� space)and the highest point of the roof. The disffinCe'beMreen the top of sfab arn <br /> START WITH �e highest poiM of the roof. <br /> Hyou have a... <br /> • GABLE OR HIPPED ROOF(no 1f you have a:.. <br /> • GABLE OR HiP(�ED RO.dF(no <br /> / winclows): Subtrad half the windows): Suytract haff 7fie diatan� <br /> �l i�1�� disiance between the highest point between the hi hest <br /> .* of the roof to the low point of the 9 PoiM of the ro <br /> • �:, to the low r�t of the corre$pondir <br /> ,.� . <br /> ,,f+,� _��, �� SUBTRACTION cortesponding gable or hipped roof SUBTRACTION gabie or hipped roof <br /> �. � ` (BASED ON ROOF • GABLE OR HIPPED RO.OF(wi{h . (BAS�D ON • GABLE OR HIPPED ROOF(with <br /> TYP� windows): Subtrad half the ROOF TYPE) wirldows): Subtracthelf 1he distarn <br /> distance between the top of the beiween the top of the fiiphest <br /> highest window antl the highest . window and tAe highest point of th� <br /> poiM of the roof . �{ <br /> • ALL OTHER ROOF TYPES{flat, • ALL OTHER ROOF TYPE$(fiat, <br /> mansard,etc):No subtraction. rF�ansartJ etc:No subtraction. <br /> ,: �+�:� �-; Subtract the disfance between the ADDITION Add the distance between the top of slat <br /> 1-; � � SUBTRACTION (BASED ON and tt�e highest e�dating grade adjacent i <br /> - (BASED ON F�CISTING �SemeMlerawl space floor and the EXISTING the toundation. <br /> � ' � highest existing g[ade adjacent to the GRADES <br /> �'? GRADES) <br /> p`!..: .i foundation OR 10 feet(whichever is less). EQUALS Defined building heigM <br /> �e"t �� EQUALS Defined building height , <br /> , <br /> ����� <br /> 3��;� <br /> :.��. : <br /> ShoreEand Qistrict 6�C�Q�'erm[t Receeved Aker� e Lak�shar�Setb�ck 14�et? 6EufF <br /> � Yes � t�o t� N1A B] Yes Nc <br /> �Yes � No � � Yes � !�o j�`N/A <br /> � <br /> Permit I�umber: � - �" Setback: <br /> St�crr�v�ater(��a�Eity Exi�tEe�� �ro�osed Vaeianc�Rec{uir�ct CUP R uired <br /> Qverl� DistrictTier E�ardco�+er t�ardcaver � <br /> �� � � �._,���:�� <br /> Q Yes �!o CI Yes �d`o <br /> G'"" t� F j � TYPe(S)� • T e s . <br /> ,_ YP � )' <br /> ,,., <br /> Updated: January 2013 ��,�'� �n-i� <br /> v:lforms�plan review chedclist 2013.docx y' � �� l <br /> A ! <br /> ��� ���� �� � � � � <br /> . � . F ) <br />