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���� ���'E��t,� �������[�� F�f� ��� �Z�.���°���� � �,��t�E�f�S <br /> AcicEress: �G U Nd�-T7i �2..� ✓�� Permit i�o.: <br /> • Qescription of vir�rk: �G� r�c��d�. 12t: rwcJ✓> � � D�te Rec'd: <br /> Septic reviev�r by: __�1/�� Da#e Approveci: <br /> Zoning review by: N�� Date Approved: <br /> Buiic�ing review hy: Date A,pproved:_�i":� 3� ?�+d 1 "� <br /> Grading review by: ` ��� Date ApProved: <br /> Zoning Dis#rict: Zoning File#: Reso#: Reso Date: <br /> , Zoni : Lot Area: SF/AC tAlicf#h: LQt Coverage: SF % <br /> Survey bmitted: �Yes C[ No Date of Survey: Revised date(�)• <br /> � Pro osed S acks: � <br /> ; Fron#(Lake) ktear{Street) ( � �ide � � f � Side � ; Other Bu' ings Wetland' <br /> D�fined Heighf: Peak Hefght:� fFE: FFE minu feet= (Existing Contai <br /> Perimeter(iinear feet)= 50%0= L.F. I�elow grad� .#of$torees <br /> , FOR A BUILDlPtG WITH A BASEBAENT OR CRl� SPACE: FOR A BU!!. NG ON A SLAB FOUAlDATION: <br /> The distance be the lowest proposed 'Fhe distar�ce bet�nreen the.top of <br /> : START WiTH : floor(ofthe basemen r crawl space)and START WITH siab and itie highest`point of the <br /> t Uae highest point 4f the r root.= . <br /> ;` ` If you have a._ ` If you haVe a... ` <br /> • GABLE OR HIPPED RO no • GABLE OR HIPPED ROOF <br /> ° windows): SubVact haH the ce {no wfndouvs)::,Subtract Malf <br /> the distartcg betweert�he. <br /> between the highest pqint of t highest pofnt of2he roof ta <br /> to the loW point of the`corcespond <br /> �UBTRACTION 9able or hipped roof the low pdiht of the <br /> cortesponding gable or <br /> , {BAS€D ON ' . GqBLE OR HIPPED ROOF(wit SUBTRACTION . hipped roof <br /> R{)OF.TYPE} windows); Subtract half the di nce (BASED ON, • Gp�tE OR YIIPPED ROQF <br /> between the top of the tiigh RdOF 7YPE) (with vvihdovks):'Subt�act <br /> window and the highesi po' t of the � hstf the dtstance bebween <br /> roof thQ top af th�tifghest <br /> • ALL OTHER ROOF T ES(flat, windoW and the hfghest <br /> � mansard,etc):No s traction. � point of the roof <br /> - • ALL OT�}1ER RdOF TYPES <br /> -SU�TRACtION Subtract the distance tween the (flat,�mansarti,ete):No <br /> (BAS�D ON basemenUcrawl sp floor and the " ' � subt; 'on - <br /> �CISTING highest exfsting g e adjacent to fhe' AD ItION Ad�the distance between the fop <br /> ' (3RADES) : foundation OR feet.(whisheveris f�ss). ASED ON of slab ana tfie higl�e$t exisUng <br /> , EQUALS ' befined bui g height + � . TI�G : grade.adjacernio the foundation. <br /> ` ° • Ei2UA Defined buiMing height <br /> Shoreland=District MCKrD Permit ��erage Lakeshoi�e-Setbac B�uff <br /> � . . Met?, _ ; <br /> 0 Yes � {�o Permit Nwmber C! Yes � No 0 NIA - 0 Yes O No <br /> , � N/A—seeattact�ed Set Gk: <br /> Stormwater Qua! , Proposed <br /> Qverla Qist Exi�ting Kardco�er <br /> y (%and s� Hardcorrer Variance Required CE! . equirec! <br /> Tier cir�cl. ne %and s . <br /> 0 Yes E� No a Yss Q No <br /> 1 2 3 4 5 TYPe�s)� Type(s): <br /> Updated: January 2015 <br /> z:\forms�plan review chedclist 2015.docx <br />