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, _ <br /> : ���.� E����e� ��e������ ��r� ��� S���c����� � ��c�iiti��s <br /> Address/PID/Legal: �,� ����,� � �� . +� <br /> Description o#work: �1.�-- �- c.�s[LXJt.� <br /> Septic revi�w bY� � Date Approved� ifJ ' �'�� <br /> ' Zonin review b : ' �, �� , • <br /> S . Y � Date Appcoved:__ �� '�."f� <br /> Building review by: Date Appro�red:_ � ''7,Gv �1'Z- <br /> Grading review bY� � Qate Approved: {11��.�"`�;�..� <br /> Zoning File#:�'_,,��� Resolution#:- ��� Resalution Date: � ' Z� �Q <br /> Zonfn District Fire De artment Fost Oifice School Dis#rict <br /> c�� � <br /> Zor�ing: Lot Ar�a:_ �S•� dSFl AC Width: Depth:_ <br /> � Survey SubmEtted: �Yes o - Date of Survey: <br /> : P_ro osed Setbacks _ � a : �+� �4� Q�,' 1 1`� �� • > •_ <br /> F -r�t(Lake} Rear(Street) ( � S �� ) ( N �. E� <br /> � Ot#�er Buildings . YVetiand <br /> Sids S�de <br /> �.Z,.i ,�,�� � c.. <br /> .Building,De#ined Height; �uilc�ing Peak Height; #of�ories Ok�: fl Y�: <br /> ` �FOR A�BUILDIFlG WiTH A L�AS�MENT OR CR/IY�IL'SPACE; �OR A�tiILDIN�',ON/1 SLAB FOUNDA7t0�1 <br /> START VNITH the dist�nce beiween the bas�erraent flooN crawl START the distance befive�n the slab.ai�d the highe, <br /> � space floor and the highest roof,peak,.tMe top of ' WITH, roof peak,the�top of the.cdmi�of a#tat Toof <br /> the corriice of a�la#roof,the.deck line of a the deck Ime of a,m�t�satt�rouf,or the <br /> � � rn�ns�ctl roo#,i�r#tae uppermt�s�,point ot�afour�d �- � uppermosf pofi���oh�a°rour�d.oris�er:at�h-ty� <br /> or other arch; ` e.roof raof _ . <br /> SUBTRAC7 hal�the distance'between thehighest win�oyv and SC1B'1'RAGT ha�'#�:distan�e-betwe�i��h�ltfg�+��fiwir�r]o� <br /> � �. �ht�hest;waf � k of a �chedrQo# � - ��, �� anc�fii�hest ro��: �� f� ��'���'� ��z:�._ �� <br /> 3UBTRA�T the d�st�i�c$bei�nteen'the base�i�nt�loor/.crawl A[�D th�drstarioe betvir�er��e sfab;�t�d {�e t�i�he <br /> space�f'dor and the highest e�cisYn�grade withir� " ` exisfin de�witfiirith�fourad�tt�n�.� ' < <br /> the fou�dation or 10 feet,whicheuer is less. EQUALS_- Glef+ned bi�ildln` fiei ht " <br /> � : s�� . ' ` <br /> ' �QLIML� �- �-� C�efihe�'buildin� he��ht � - � �- . : <br /> , ., � .. <br /> , . <br /> � � _ ,. : _; .:. <br /> Lo#GeveFage: �5� % <br /> Shor�ia�d Qts�rict ` M�GVI�D Permit Received A�era e'L�k�s�tore�ge#back ' Bl�ff' , <br /> � Yes � 1�10 C1` tV/A . ��l �I Yes `' : o <br /> � Yes G No � �Yes � No � N!A <br /> , . . Permit Num�r; ,� � _ Se�ack: <br /> Hardcover Zon�s: Existin Pro osed Varance Re u�r `.CU,P Re+ u�re.d� <br /> 0-75' t1 Yes No C],Xes : ,: No <br /> ' 75-2SD' �. 2.� TYp�(S?: '[yP�(g)= <br /> � 280-500' ��•r3� �'•.t'�� <br /> 500-1000' . �'�'2.. � _ <br /> �•��» <br /> ` RENiARKS (in-house): <br /> Updated� 09/11/2D09 <br /> z:lformslplan review chedclist.docac <br />