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c <br /> � ���,.E� �:�C9C��.,.,�'i.,�' �E���E��f��" ��f� ��� �'�"����mt�[��� � �t.����°t��� <br /> Ac�dress: "LCJu� Q� �� l�J{�.- �� Perr�itl�o.• ��J - (�$�q' <br /> Desceiption afi�rork: �! vc._.�I�i� �TUi`�I� Date l�ec'd: � 'l.�-� '�� <br /> Septic reviewr by: J���-- UV�,� D�te Appeoved: <br /> Zoning reviewr by: Date Approved: <br /> ' �uiiding revi�w b�: „� - Dat�Approved: 1 <br /> Gracfing review by: � Date Approved: � A`.`.����' <br /> Zoning Distcicf: � '�� Zonin� File#: Reso#: Reso Date: <br /> Zcning: Lot Area;��,--� �� ' SF/AC�$� VfdEdth: Lot Covera�e: �-�:�; SF � , ':N� °�o <br /> SUYV@�SUI2t'Y1���fS: �es [� ivo �ate og survey: �J •L7'J S Revised date(�)• <br /> Pro osed Setbacks: <br /> FJ�t(Lakej Rear(Streetj3� � R S 1A� ) ( A1 S � W l� <br /> " 5i� �i�e �� Other Buildings �ilet�and <br /> ��Z` �,� • ` �t� <br /> Defined kteight: geak l�Bight: FFE: .:,''�. ' FFE rpinus 6 f�et= �,�'�". (�xisting Conto� <br /> Ferimeter(finear feefi)= 5Q9�o= �..F.b�low grade #of Stories�, <br /> : FOR A BUILDIKG W!T!i/�BA$EWiENT OR CRAINL 3PACE: �OR!�BIjILD11dG ON A SLAB FOUND�►TION: <br /> The distance betw�n the lowest p►oposed The distanee betwben the top uf <br /> " � = START WITM floor(of the basement or crawl space)and START W1TH slab and the highestpoint of the <br /> --., the highest pofnt of the roof. - roof. <br /> If you have a... it you have a... <br /> � GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROqF <br /> windows): Subtract haif the distance fno windows): 5ubtract half <br /> betwe�n the h hest the dts�tance between the <br /> ig point ef tfie roof <br /> " highesfpointoftherooffo <br /> �,! to ths low point of the corresponding the low point of the <br /> ,� SUBTRACTION gable or hipped roof , ' cx�rresppnding g8ble or ; <br /> (BASED ON e <br /> GABLE OR HIPPEUROOF(with SUBTRACTION hip�d".rbpf <br /> ; ' ROOF NPE) windows): Subtract half the distance (BASED QN . Gp,g��p�HIpP�D ROOF <br /> . be)ween the top M the highesi - ROOF T'PE) (with windows): Subtract <br /> window and tl�e highest point of�+e haK the distanc�befinte�n <br /> roof <br /> the tmp.of the highest <br /> • • ALL OTHER ROOF TYPE&(flat, wfOdan!arad the fiighest . <br /> mansard,etc):No subtraction. point of tt�e roof, <br /> SUBTRACTION Subtract the distance between the • ALL OTHER ROO�TYPES <br /> ,^ .' } ,� '• (BASED ON basemenUcfawl space floor and the (flat,-mansard,etc):No <br /> � # � � <br /> � " FJEISTItdG h' hest e�Istin subtra:tion. <br /> r � �9 g 8rade atljacertt fo the ADDI1'ION Add the distance beiween e top <br /> • GRAD�S) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highestexisting , <br /> ���Y EQUALS Detined buildln hei ht EXISTING <br /> � ~�r 9 g GRADES 9�de adjaceM tb the foundadon. <br /> L� ;' J';�; <br /> EQUALS Defined buliding fieight <br /> Shoreland District � t�i��dYD Permit Average Lakesfiore Sstback Biuff <br /> Il�et? . <br /> �0 Yes C! No Permit Number. �� ._ ��� es O No C� 1�!/A � Yes Nb <br /> 0 NlA—see att�ched 5etback: <br /> Stermwater Quality ��Fs�ing H�r�cover �roposed <br /> Ove�lay District (%and s� �ardcc�er Var6ance Required • CUP Reqtafrec! <br /> Tier. cirele one %and s <br /> C��S, Q Yes No � Yes � R�o <br /> 1 2 3 4 5 � //j /V��'yg�� TYPe�s)� TYPe(S): <br /> li4�i� (I.\r' <br /> Updated: January 2015 <br /> z:lformslplan review checklist 2015.docx <br />