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� _ ���r� ������ ����k�E�� �e�r �er� ��r�cte���� l �c�������� <br /> Address/PID/LegaL //� °� ��77`� �d�iP�. <br /> Description of work: /�P�OD��j'Lc��4�i/2 <br /> Septic review by: .+.1►//a Date Approved: <br /> Zoning review by: ! Date Approved: <br /> Buifding review by: Date Approved: �-1S'"-Zo�t <br /> Grading review by: d�✓� Date Approved• <br /> Zoning File#: Resolution#: Resolution Date: <br /> ZonEn District Fire De a�tment Post Office School Di ict <br /> Zoning: Lot Area: SF/AC �dth: D h: <br /> Survey Submitted. Q Yes C'f No Date o#Survey: <br /> Pro osed Setbacks: <br /> Front(La[ce) ar(Streetj ( � gicle � ) ( � ' S�ae � Other Butidings Wetlartc9 <br /> Building Defined Height: Buiiding Peak Hei : #of Stories 0k?: p YE� <br /> FOR A BUILDIHG WI'fH A BASEMENT OR C WL SPACE: FOR A BUILpING ON A'SLAB FO�NDAT�ON: <br /> START VNITH th�distance between theb ement flooN-cra START the distance between tfi�e slab and the highe: <br /> �pace floor and the highest r peak,the of W17H roof peak,the top of the comice of a fla#roof <br /> the cornice of a flat roof,the de line o the deck line of a mansard roof,or the ' <br /> mansard roof;or the uppermost p ' n a round uppermost point on a xound or other arch-tyK <br /> or other arch-t e roof roof <br /> SUBTRACT haff the distance between the ' est " dow and SUBTRACT half the distance between the;highest windo� <br /> hi hest roof ak of a itche roof and hi hest roof eak af a itched roof <br /> SUB'fRAC7 the distance beiween the sement floor/c wl ADD the distance befinreen the slab and tF�e highe: <br /> space floor and the hig st existing grade wit ' existin rade within the foundation <br /> the foundation qr 10 et,whichever is less. EQUALS` Defined buildin hei ht ' <br /> EQUALS Defned buildin h' ht . _ ; <br /> Lot Coverage: SF % <br /> 3horeland Distci F�iCWD Permit R�ceived A era e l.akeshore Setback B(�ff <br /> � Yes t3 No � N/A 0 Yes C No <br /> 0 Yes No d Ye � No . � N/A <br /> Permit Number. . Setback: <br /> F#ardcover ones Exi�tin Pro osed `Variance e uired CUP Re uired <br /> 0-75' Q Yes � No 0 Yes � No <br /> 75-250' TYPe(S)� Type(s): <br /> 250-500` <br /> 500-1000' ` <br /> \ <br /> REMARKS (in-house): �� C�v�g� `� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />