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� ���� ���.����'.��.� ��������� ���� t�����p ���������� 6' �������'�� <br /> Address: �� ��� ����� Perrr�Et�"o.: ��5 -� ��(�(��� <br /> Description of w�rk. � � t Qate f�ec'd: ����•� <br /> Septic re�iewr by: Date�pprovecl: f� <br /> Zoning revfew by: �ate Approved: _ •� <br /> Building revie�w b�: � Dat�Approved: � ��� <br /> Grading review 4�y: �E�l1 6� Date�lpproved: �• ?.2.'E,� <br /> Zoning District: �� f� i �'.� �oning File�: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC l�ific6th: E.ot Coverage: Sf % <br /> Surbey Submitted: �Yes i� t�o Date of Sc�rve�: . 1 ' 1 ' ���" Revised da#e(?): <br /> Rro osed Setbacks: �, %�` � � <br /> � � ✓ -..:�, .. . <br /> ��� � ;�.:� <br /> Front(L�� Rear(St�) ( � �� E � ) (� �,,;:; � E � ) Other Buiidings YNetiand <br /> � '�ide �ic�e <br /> _ y , <br /> - 4 <br /> � �- ..� �- i��; � + .�` 'E,;,� �` 1.�.^ . <br /> �3ef�r�ed Height: ��� u�.� Peak H�ight: �' � c„� FF,�• � 64`�•''. FFE aninus 6 feet= �'�(Existing Contoc <br /> ��"'` � .�:�• ;,.��,� -,. �� ,;�� t , ; , <br /> � , �,.,G` �� <br /> � ��ri�rreter(Hnear fieet)= 2���: �' �Q%= ��� :�`�' < . ,���.�t �.F. below gra� Stories <br /> m�, <br /> FQ�2 A BUILDIt�G WITH�BASEf�Ei�lT Oft CRAWt SPACE: � '�'OR A BUILDiR'G ON A SLAB FOUNDATiOtd: <br /> ; �,�,r,. <br /> The distance between the lowest proposed The distance between the top of <br /> STAR7 WITH floor(of the basement or¢rawl space)and START WITH siab and the highest poir�t of the <br /> _. the highest pbint of the roof. ��' �f_ <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF <br /> windows): Subttaet haH the distar+ce `'� (�a�Rdows): SubVact half <br /> between the hiQhest point of the roof �t�� the d�stance between the <br /> , '` � to the low point of the corresponding hfghest point of ihe roof to <br /> SUBTRACTION 9able orhipped roof ine�o+nr PoiM of the <br /> "� --� (BASED ON � GqgLE OR WIPPED ROOF(with SUBTQACTION h�p�ro�ng gable or <br /> - ROOF TYPE) wintlows): SubVacY half the distance (B/k3ED ON . G�►BLE OR HIPRED ROOF <br /> belween the top of the highe.st ROOF TYPE) (wkh windows): SubEraet <br /> w(ndow 8nd the highest pofnt of the haif the distance between <br /> _ ►�f the top aF Uie highest <br /> • ALL OTHER ROOF TYPES,(flat, window and the highest . <br /> mansard,etc):No subVaction. point of the roof <br /> (y • AL(�OTHER ROOF TYPES <br /> SUB CTION Subtract the distaoce betwesn the ' O�f-�.-! (flat,rnansard,et�):No <br /> (BASED ON basemenUsrawl space floor and the � r subtracUon. <br /> • . ' EXISTiNG highest existing grede ad}'acent to the �;t� AD ITION Add tfle d�stance between fhe top <br /> ` GRADES) foundatfon OR 10 feet(whichever is less). k (BASED ON of slab and tlie highest existing <br /> EQUALS Defined build(ng height E 4' EXISTING grade adjaceM to the foundatian. <br /> : y � ` .� GRADES , <br /> EQUALS Def(ned buiWing height <br /> :6.dr� <br /> Shoreland District MClhID Fermif Average Lakeshore Setback Biuff <br /> Met? <br /> �Yes � No Permit Number. �,�~ � Yes � No N/A Q Yes No <br /> � N/A—see attached 5etbaek: <br /> Starmwater Quality Exi�tfrsg 4��rcicover proposed <br /> Overlay D6strict (o�o and sfl �ardcover 1/ariance Required CUt�Required <br /> Tier cirole one %and s <br /> 1 2 3 4 5 � � '�r'��� � Yes No � Yes o <br /> � � ''� ���s r ~�.. TYpe�S)� Type(s): <br /> � r <br /> Updated: January 2015 <br /> z:\formslplan review checklist 2015.docx <br />