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, . � � <br /> ���.� ���EE1� ��E��C�����' F�� ['�E� ���E��T���� E �,QE�[��4�l� <br /> AddresslParrnit Niwmt��r: �� f � 1 �� � �r � � ��Q.� <br /> Description of wock: 1�f �l�6V �` �` �dl� <br /> Septic review by: � ��te ApProved: � �...' �...7' � <br /> Zoning review by: Date Approvecf: b� ��� ; . <br /> Building review by: Date Approved:,� <br /> Gradfng revi�ew by: �'i : ^ Date Approved: : /� a�' , <br /> � Zoning Di�trict: Zoning FEfe#:" �� Reso#: lteso Date: /'r : <br /> . o <br /> Zon�ng: Lot Area: ��� F AC 4'itidth: Lot Cov rage: �i� SF�/o <br /> Survey Subrnitteci: �Yes � No Date of Survey: ��I�/� 6� � Re�ised da�el?l� <br /> Rro osed Setbacks. <br /> Front(Lake3 Rear(Street) ( W S E w 1 ( i� S E 1�l I: Other�uiidings 1�letland <br /> Sid� Sicte <br /> , ; _ . <br /> D�#ined Hefght: n �,� Pe�k t�e�ght: FFf:��� FF�minu� 6 feet"=�(Existir�g Corstoai <br /> R�rimeter(linear feetj= 5Q°k= #o#Stories Ok?�ES <br /> ; FOR A BUILDING W1TH A BASEMENT OR CRAWL SPAGE: ' . . , <br /> /��,.y TAe distance between ihe lowest �'OR A BUILDING ON A S�AB FOUNDATiONC� , ` <br /> � � ,START WITH proposed floar(of the basement or�raMA' � ' <br /> spac�)and the highest point of the roof.' STAR7 WITH T�distance b6tween the top of Slab and <br /> If you heve a... `. , the highest po't�t of th6"reof. <br /> • GABLE OR HIPPED ROOF(no If you fiave a.;. : <br /> • GABL�O�`t HIPRED ROOF(no <br /> wintlows): SLbVact haH fhe windows);SuMract fialf tl�e'distanc <br /> distanoe between the highest point qpttiveen the hi�hest poirlt bf the roc <br /> of the roof to the bw point of�e <br /> '� 'SUBTRi4CTION correspontling gable oF fiipped roof SUBTRACTION ��e,low�fo�nt of�hQ cqrr�sptmciin <br /> ,..s` (BAS�Q ON ROOF , `9�ble or hipped roof . <br /> GABLE OR•HIPPED ROOF(with (BASED ON . 'C,�ABLE pR HIPPEA R04�"(with <br /> � . TYp� . windows): SubVact half the � ROOF TYPE) Y windovVs� -SUbtr��t 1i�If Uie df�tanc <br /> � ' dis�nee be.tweenthe top of the , . > .. . ::between�e iop of,ttie higfieSt .> <br /> Mighest window and the highest . wint�pw'v�ni!tF�highe5t poii5t of the <br /> ; � . • , point of the roof ,, , , - . _ , roof -;>;; <br /> ` ' • ALt OTHER R60F TYPES(flat, '. � • ; ALL OTH�R RbQF TYPES�fi8t, <br /> � } mansard,etc):No subtraction. mansaril� � No subttadioh. <br /> AkDDtTiON Add tMe dlSfa�Ce beiyiee��1e tOp cf sfab <br /> SWbfrBCf. e dista�Ce between fhe' <br /> �Y' t.�� � �SUBTRACTIOM � �Eq ON and.t(�e higheSt e�dadng gr�de,edjacent f� <br /> s '� � ;�ASEb ON�XISTING ������space floor and the €XISTIWG 4ie founda�lon. <br /> hiphest existing grade ad cent to the <br /> �' �' J ��` ` <Gi2ADES) � , : GRAUES ,: . ' <br /> . , foundatibn OR 1 o feet(whichev@r is lessj. �EaUAIS Defln' bWltfing he1gML. • .� <br /> ' ; ��7 EQUALS (�eflned building he1gM <br /> ; <br /> �.f .�,/' '' : . ` : <br /> � <br /> : ' :' . ' .' . � :' - <br /> , , ' � . , ,=. , <br /> Shoreland Distri�t `` MCWb Perrrrit Received Avera e Lakeshore$et ck Met? , Btu > <br /> � Yes � No G N/A <br /> CI Yes No <br /> � Yes O No G Yes Q No N!A <br /> � rmit Number. � .,..., Z, : �etbaal�: <br /> � �fi�rmvirat�r Quality Existin� Proposed llari�nce Re ui <br /> Overla District Tier- Fiardcaver Hacctcover � �d CUP Required <br /> a . . . � Yes , o G Yes No <br /> � � J���� TYpe(S)� T e s : <br /> �`�l�' �� t�� Yp � ) <br /> Updated: January 2013 <br /> v:\formslplan review checkiist 2013.docx <br />