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. � �'��� ������ ��C������f f�� ���,� ��r€�������� � �.���€c��� <br /> Address J PID/ Legal: _ � S� JJ �� ��� (, �� �£� <br /> Description of wrork: �� La-�� (��5�� <br /> Septic rediew bY� � Date ApRrov�d: � ' " i <br /> , Zor�f�g review by: � Date Approved: ��� � <br /> Builcfing review by: Date Approved: � —'� � "'?�1 � <br /> Geadinc� revi�w by: V/�<�� r�..� Date Approved: / �� <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zcr�En District Fire De artev�enf Post Office School Dis�rict <br /> . � <br /> Zoning: Lot Area '� � �AC Width:__� Depth: � <br /> Survey Submitted: .�es L� No Date of Survey: � "�tp�s��--- <br /> Pro osed Sefbacks: <br /> Front(L E�e�r( et) (�4s�'- . E 1�► j ( tV �S ' f �il ) Other Buitc6ings l'�e�#l�ncE <br /> Side 'Sid� <br /> �`. �' �o� <br /> ..y' ; <br /> Building Defined Height:� ► Building Peak Height: #of Stories Ok?: E: <br /> EQR A BUILDIP[G WITH A BASEIk�E1dT OR CRAWL SPl�CE: FOR A$UILDtNG ON A SLAB FOUPlDATIOPt: �/� `� <br /> START WITH the distance belween the basement flooN crawl START the distance befween the s�ab and the highe <br /> ' �C� space floor and the highesf roof peak,the top of WITH roof peak,the top of#he comice o#a flat rooi <br /> 4S the comice of a flat roof,the deck line of a the deck line of a mansard roof,or the <br /> mansard roo#;or the uppermost poin#on a round uppertnost poinY on a round or:other arch-ty� <br /> or other arch- roof roof <br /> �j,�2 E SUB�CT half the distance between the highest window and SUBT.RACT half the distance betweeh the highest windo� <br /> , � hi hest roof -ak of a itched roof <br /> �L and hi hest roof eak of a itched roof <br /> ;�"�'�` SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highe <br /> ��� space floor and the highest existing grade within existin- cede within the foundatio� <br /> the foundation or 10 feet,whiehever is less. EQUALS 'Defined bui�din _hei fit <br /> EQU Defined buildin .hei ht <br /> � ! , t <br /> Lot Cover ge; t.�4,��, Sf °fo <br /> ; Shoreiar�c! District �C1f�D P�rmit Received �v�ra e Lakeshore Sefback Bfuff <br /> � Yes Q No 0 N/A 0 Yes Nc <br /> �es I� I�o Q Yes � I�o N/A <br /> , Permit Number. � 5etback: <br /> , FEarcicov r Zones Existir� ` Pro osec� 1�ariance Re u�r CUF Re uire <br /> 0- 5' CI'Yes No � Yes No <br /> 7 - 50' ; ,, � TYPe(S)� Type(s): <br /> 250 0' <br /> 500- , � <br /> 4 � <br /> REMARKS (in-house): ' � � �' •�� ��� �`� <br /> Updated: 09/11/2009 <br /> z:lforms\plan review checklist.docx <br />