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�'�f��,C� �.������ �E-��������' ���' �E� ����C�'�l��� � �����°6���� <br /> �dclress/P�renit Number: 2�3� 1V 0 C�i� �5'�� t°3'� <br /> �3escriptior� of�✓ork: i�:���-- <br /> Septic review by: _�1 ,�� , Date f�pproveci: <br /> Zoning review by: !�4 Dage l�pprovec�: <br /> Building review by: Date kpproved: 0/' �` ?�1.� <br /> Gradfng reviev�by: /v�/9 D�te APprovecE: <br /> Zaning District: Zanir�g file#: Reso#: Reso Qate: <br /> �o 'ng: Lo�Area: SF/AC 1+�lidth: Lat Coverage: SF °lo <br /> Surve ubmittecf: t� Yes � No D�te of Survey: Re ised date ? • <br /> Rro osed tb�cks• <br /> Front(E.ake} Rear(SYre�t) � N S E VV1i ) ( PE S E VII ); Other B�it ' gs l�etfand <br /> Sicfe �ide <br /> Defitn�c� fieight: Pe�k FEeight: FFE: FFE�Inus ee�= (Existing Cor�tau <br /> Perimete�r(lir�ear feet)= 5�°10= #of Stories Ok? �YES <br /> FOR A BUILDING WlTH A BASEII�fENT OR CRA SPACE: <br /> the distance betwee e loweat ' FpR A ItDING ON A SLAB FOUNDATiON: <br /> START WITM proposed floor(of tFiE b emenf or crawl <br /> space)and che highest po t of the roof. The distance between the top uf slab an <br /> START,WITH �e hi hest <br /> If you have a... 9 paM of the roof. <br /> Hyou have�... <br /> • GABLE OR HIPPED ROO nc •' GAgL�OR HIPPED ROO�(no <br /> windows): SuDtract half the windgws): Subtract haif B�e distar <br /> distance between the highest p t between the highest point of the rc <br /> of the roof to�e bw point of the to the low point of the acrrespondi <br /> SUBTRACTION �esponding gable or hipped roof SUBTRACTION gahle or hipped�oof <br /> (BASED ON ROOF o GABLE OR HIPPED ROOF(wit (BAS�D ON . GaBLE OR HIPPED RDOF(with <br /> ' NPE) windows): Subtractfialt ttte ROOF TYPE) w'rndowsj� SubVact half the distar <br /> distance between the top o e between the top of the highest <br /> highest window and the " hest window and the highest poinf of th <br /> point of ttie roof roof <br /> � ALL OTHER R00 PES(flat, •- ALL OTHER ROOF TYPES(flat, <br /> mansard,etc): suMraction. an8ard etc:No subtrac�on_ <br /> ADDRIO►V Add the di§tahce between tite tvp ot sla <br /> SUBTFtACTIOW Subtcact the dis befinreen the (BASED ON and tite highestexisting gr8de adjacent <br /> . (B#SED ON EXISTIhiG �S e m e n t/c r a w l ace floar an d t he E X�S T ING the foandatlon. <br /> GRADES) highest existi grade adjacent to the FtADES _ <br /> foundation 10 feet(whicfiever is less). E ALS Defined buiWing height <br /> EQUALS Define uilding height <br /> Shoret�nd Qistr�ct I�C1f�D P�rmi�Re�eivec� Av�r� e Lakeshore Setba 1l�et? Bluff <br /> � Yes C� No 0 N/A � ts Yes _ � N <br /> � Yes No � Yes � No L7 N/A <br /> Permit t�umber. Setback: <br /> Stoemw� r C�uafity �xistir�g �r�pasec! ��risnce �equir�c# CUP Requi�e <br /> ONe�la istrict Tier 4�arcicav�r E��rdcover <br /> � Yes � I�o � Yes No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />