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��� ��c��eE�� ��-fE���.t�T ��� ���' �Tf����t�E�E� � �,�D���`�C��� <br /> Ac�dresslP�rmit I�uml�er:__ <br /> � � � � ��''� <br /> De�criptEan ofi�►ork: �� �. ���'� <br /> SeRtic revi�w by: �,T, �' D�te Approved: "' ' �t� <br /> Z o n i n g r e v i e w b y: L`�` D a t e A pprove d: � <br /> Building reviernr byc �- Date/�pprovedt I�' – ?c�t 3 <br /> Grac9in r�vi�w b • .r �— <br /> 9 Y• � �ate Approved: � 3! <br /> � Zoning DistcFct: �.� �:.� Zoning Ftie#: Reso#t Reso Date: <br /> � ��{.r . <br /> Zoni�sg:Lot�►rea: • � SF A� 1�'if�dth: Lot Coverage: Z�' � SF °lo <br /> �/ - -,� <br /> Survey Submitted: Q Yes � i�o Date of Survey: �� ��` � f�evised date(?)• <br /> Fro osed Setbacks; - <br /> Front(Lake} Rear(St ( � S�� � ) ( N S E ili� Other Buiidings . tMet�and <br /> S Side <br /> �%�` :'�� `�'� �` <br /> , . <br /> Defined Height: �`� P��k F6eight: FF�: FFE mtnus &feet=�(Exi�ting:Corctou <br /> � Perimet�r(Anear feet)_ . 50%= #of Stories Ok? 0 YES <br /> FOR A BUILDING IMITH A BA3EMENT OR CRAtML SPACBC- <br /> The distance between the iowest �OR A BUILDING.ON A 5LA9 FOUNDATION: <br /> START WITH proposed floor(of the basenlent or crawl <br /> space)and the highest poiirt of the roM. the tlistance betw�en the top of sl�tS ani <br /> START VfIITH the highest pqirrt of t�q roof. <br /> Ii you have a... <br /> • GABL�OR HIRPED Rf�yJF(no �You haYe a;.'. <br /> • dABL�OR HIRREb.ROOF.(no <br /> wf�dows): Subtracf.f►4�fthe N+indows):,Subtracttaalf�he�distan <br /> distance betwe�rthe hiphest poirrt between{fie highest prif�of the ro <br /> of the roof�o ttie 1ow poi'rt of the to tlae low rit of the corres <br /> SUBTRACTION corresp�pAding gable or hipped roof SUBTRACTION gabla or h pppd r�og�.�. Pondir <br /> ' (BASED ON ROO� . G/J,gIE OR HIPPE�ROOF(anri4h (BASED ON .. GA$I,�Oow�R�Pp�CJ 1�00F wdh <br /> �E� ��rjndaw9)� 5ubfradfialfthe : ROOFTYf'E) wintl ubfr'acthattriie�is�an� <br /> A`' tlistance betwe�n the top of the bet�n tfie top.af,the filghest <br /> ; highest window and the highes# .�Jindow arad the fiighe,st pqiM of ffi� <br /> � peint of the reot _. ; ; ,�,' roof <br /> '�� • ALL OTHER ROOF TYPES(flat, -' • ALL 07'HE#t ROOF TY�?�S(flat, <br /> �� mansard,etC):No s�btraction. � m nsard �tc:No s ' . <br /> AD151T_1,,�0D�'" d fh8 diStanCe n the top of slst <br /> S�btract fhe distanoe beeiwwaeFi the 0 , c�g grade adjas:eM 1 <br /> . . �SUB CT10N ��� � � - � �3A��aD 1� and tho�i Eiest exisU <br /> ED ON IXISTING basem�it/crawl space floor and the TING the foundation. <br /> RAD�S) hiphest e�dsting grade adjacentlo the �{;qp� ; <br /> fcundation OR 10 feet(wtiichever is less). �.. EQUi41S Defined bWldirig height <br /> BQUALS nsd building helght � <br /> Shoreland District (iAC1MD Pecmit RecB�ve ' AVsra "e Lakeshore Setback Met? � �t�{� <br /> � Q Yes �] No N/A � ' G Yes Nc <br /> Yes G No G Yes G No N/A <br /> 'Permit Number.� . . � S�tbBck; <br /> Starn�water t�uaiity Existin� t�ra�osed Variance Required CUP R uired <br /> Overfa District Ti�r F�ar�cover Hardcover � <br /> � • �H a.. � Yes No Q Yes No <br /> � � �,_ . �; .� TYPe(S): Typ�(s): <br /> Updated: January 2013 { `'j. � ' • � <br /> v:\fortns�plan review checklist 2013.doac � � V ��€ � '' � <br />