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� �L��: E���'�����:� ������.f��` ��E� ���� �'�'E����`���� � ���C�f�C�� <br /> kdc�r�ss/Perrr�ft f�c€mber:----�l(!l� �� t \� � ►r r • <br /> De�cription of v�rorlc: __ ��� S�� <br /> Septic review by: � aate Appcav�d: ' C 1 �Q(j� <br /> Zoning re�riev�b�►: � ���j��'�'`- Date Approvec�: •�L. <br /> Buiic�ing r�vie�by: �. ,�, f, ` N� Date Approvec�: "�� ZZ- � <br /> , Gradir�g e�eview►by: . �r'- aate�►pproved: /6 13 <br /> Zonir�g Di�tric�t: �aning Fi�e#: Re�o#: Reso Date: <br /> Zcnfng: lotRres: SF/AC l�icCth� Lot Coverage: SF % <br /> � , �' ; f� <br /> Sc�nrey�ubmittec�: Yes C3 No Date�fi Survey: ���„3 ;,.:� Revised date(?): �.1��"��' <br /> Pro oaecf Setb�ck�: � � t�&� <br /> Fror�t{Lakej Reac(Stre�t} ( � � E � � ( � � E � ) Otiher 8uifding� itlletfsnc� <br /> �ic�e �ide <br /> �..�,,,� ,-i � i�f� <br /> De€in�d F4�i�t��: � f � P�ak Et��gEtt:� FFE: ��p� FFE minus 6 feet= � ���o� (IExistfng Centou <br /> Perimeter(linear feet}_ �-� �� ��_��%Q= ���.�`+� #:ef Sfiorie��Ok? YES <br /> � `�f �„ � � . . . <br /> �,�� � . l�t�t�� <br /> FOR A BUILDING 1lYITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR�4 BUILDIkG ON A SLAB FOUNDATiOk: <br /> �v�+�u START WffH proposed floor(of the basement or crawi <br /> -� • space)and the highest poirrt of the roof: START WITH The distance between the top of slab arn <br /> the highest point of the roof. <br /> H you have a... H you heve a.,. <br /> • GABLE OR HIRPED ROOF(no . - GABLE OR HIPPED ROOF(no <br /> windows): SUbVad half the windows): Subtract hatf the distan <br /> distance beiween the highest pa+rt between ttie highest poiM of the ro <br /> of the roof to the low point tsf the: � <br /> � �� SUBTRACTION corresponding gable or hipped Yoof to the lan poitlt of the cortespondir <br /> SUBTRACTION . <br /> �r� 9able or hipped roof <br /> (BASED OW ROOF . GqBLE OR HIPPED ROOF(with 4���y •- GABLE-OR HIPPEb ROOF(witla <br /> TMP� windows): Subtraot halt the ROOF TYPE) wintlows): Subtract half the distan <br /> distance between the top of the betweert the top of the highest <br /> highest window and the highest window and the highgst point of th <br /> point of the rocf' roo,f <br /> -ALL OTHER ROOf TYPES(8at, • ALL OTHER ROOF TYPE�(flat, <br /> , • manserd� �No sublradion. <br /> mar�sard,etc):No subtraction. ADDTfION Add the distence beMreen the�to�of slal <br /> �r � SUBTRACTION Subtract the distance between the (BA8ED ON atid the Aiphest e�dating grade adjacent <br /> �,�• �r (BASfD ON EXISTIkG baseme�Ucrawl-space floor and the IXISTING the toundation. <br /> �r highest existing grade adjaceqt to the, GRADES <br /> � Gi2ADES) <br /> ���, faundation OR 10 feet(whichever is less). ES�UALS DeflneCl building helght <br /> �� ,� EClUALS befined bu[Iding heigM <br /> t � <br /> S�orelancE Bestcict Mf I�tD E�ermit Received Av�ra e Lakeshore Setback If��t? Biuff <br /> es [3 No � N/A CI Yes N� <br /> �es � IVo i] Yes E� No N/A <br /> , O Permit Number: -� �,��� � �� Setback: <br /> � <br /> S�ce�nwater C��atity �xi�t�rtg E�CQE?C8@C� V�PI�iiC� R��{ElEI'@(� UP R@CjUI!'@f� <br /> Qve�� Di�trict Tier �i�rci�aver 6��rdcover <br /> �°�,� �`�p�'�� +� ��.r � Yes > "No � Yes No <br /> � �jv �L� tQ��j•cs�- �.6A-� Type(s): TYpe(s): <br /> . � CS�L - � � �t A 1 . <br /> 1. . L S�'�asy <br /> Updated: January 2013 <br /> v:\forms\plan review chedclist 2013.docx <br />