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���� ���c�� ��������-� ��� �'��.A ��°���-����� � �a�������� <br /> �cicfress: '_ 3�20 N(�R�'�c�"�)Z� �\� Permit F�o.:_'Zo,s-- ca000q <br /> Desceiption of vvork: � �3'"cJ�-�-2N R��W�-����-=Z— Date Rec'd: I� �- 1 � <br /> Se�xtic review by: N 1 l'9- [3ate/8pproved: <br /> Zoning review by: � d3 _ Date Approved: <br /> BuiicEing reviewr by�: Date Approv�d: �' � � ' J,,� <br /> Grading review by: N 1� Date <br /> �Proyed• <br /> Z ning District: Zoning File#: Reso#: Reso Date: <br /> Zor� : Lof Area: SF/AC Width: i.ot Covenag�: %o <br /> �urvey brnitted; �Yes Qi No Date of Surv�y: R vised te? : <br /> Pro osed S backs: <br /> Front(Lake) Rear(Street) ( � S E Wl } ( 1V S E t9� ) Oth uiic€fe�gs tNe�iand <br /> Sitie �ide <br /> Defined Height: Peak Hetght: FFE: FFE nus 6 fe�t= " {Exi�ting Conto� <br /> P�rimeler�tinear feet)= 50°k= L.E.beiow grade #of Stories <br /> FOR A BUILDING WITH�4 BASENiEkT OR CRA SPACE: FOR UiLDIRlG Otd R SLAB FOUNDATIOI�: <br /> The distance be the lowest prc,'posed The dfstance bet�Yeen the top of <br /> � START W ITH floor(of the basemen crawl sp8ce)and START WITki slab arid the highest point of the <br /> the Fiighest point of�e r . ropf. <br /> If you have a... If qou have a... <br /> GABLE OR HIPPED ROO o • GABCE OR HIPPED ROOF <br /> � windows): SubtraGt half the d (no windows�i SubVact haif <br /> between#he:hlghestpoint of t#te the distance betuveer�the <br /> to the low pofnt of ttie cories ing highest point of tk�e ropf to' <br /> SUBTRACTION 9able or hipped toof thelow point of the <br /> , . <br /> � ` . cortespending gable or _ <br /> jBASED OM . GABLE OR HIPPED.RO .�Mrith ' SUBtRACTiQI� � hiPped roof <br /> ROOE.-TYPE) windows),.Subtractha hedi5tanee (BASEbON . GABL�ORHIP��UROOE <br /> between the t�p ofitM ighe5f- ROOF TYPE) (wRhwiRdtiWs):`:S�btract . <br /> wfndow and the h' est polr�}of U�e ha1ft19e distance tietwAen " <br /> �{ the fop ef the hlghest <br /> • AlL OTHE12. F TYPES(flat, wind�v and.'the:htghe3t <br /> rtiansard,e :No subtraction.` , _ poirrt of the�roof: <br /> � � AL,L�QTHER ROOF TYP�S <br /> SUBTF�ACTION 5ubtract the di nce between th� - (fl�,�n��,�{�):�o ` <br /> (BASEb ON basemenUc space floor and the ` subt " <br /> EXISTING fiighest e ing grade adjacent!o it►e ACi- ION Add the tl stance�betWeen the tep <br /> , GI�ADES) foundati OR 1�f fe�t(whichever is lesg). (BAS ON qf slab and�the highesiexisting <br /> ' EQUAGS GeR buildin8 he1�M EXISFI grade adjaCent to ihe foundation_ <br /> GRADES <br /> , ' EQUALS Usftned buitding ileight' , <br /> Shoreland�istrict nliCWD Permit �vera9e Lakeshore'Setback B1uff <br /> , IIAet? <br /> 0 Yes No -Perr�titNumber. a Yes q No Ci �!/A : fl � No <br /> [] N/A-see attached . Setbackt <br /> Storm�►+ater uatity Existing Hardcover �'raposed <br /> Overl�y s4ricf o �Eardcover Vari�nce Requirec� CU�Re wiced <br /> Tier ' le one (/o and sfl %and s � <br /> Q Yes � No � Yes 6 No <br /> 1 3 4 5 tYPe�S)� TYPe(S)- <br /> Updated: January 2015 <br /> z:lforms�plan review chedclist 2015.docx <br />