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, ��� ���� ��"I��s��,.'�� ��� �F� �.TR��i����s / ���I����.5 <br /> , ��� N�.��� �' <br /> i AdctresslPermit Number: , , , . <br /> i ' Descriptiot�o#work� � <br /> i . � �: <br /> ; Septic re�rtew b�ti `��'' ^ Da�e Approve�4: <br /> � <br /> '� Zonir�g revi�w by: Da#e kpprovetl: �'��' '�� " <br /> ; �uildi�g revi�w bq: Date Apprarred: g '"�'Z.�- ��� �, <br /> ` Grading revtew by: " D��e 1�pproved� �1��� , <br /> I <br /> . <br /> � - Zaning D�strFct: ° Zoning Eile#: R�o#c Reso Date;� <br /> i <br /> � 2oning:Lot Area:' SF!AC '1N�dth: �.ofi Coyerage; SF _%: <br /> � Survey Sabtr►i�ted: ��s Q No Date of Surve�:�' ��° ��` Revised date(?}: <br /> � <br /> ; P�_ osed Setbacks: . , <br /> I F t(Lake) ' R r(5treet) ( N S E �N ) ( N S W 1 O#her Build�ngs Wetland ' <br /> , . <br /> , � Side Si� <br /> I ° �Q � �� ��� <br /> ��� � <br /> � : , � _ . : <br /> � ; Def�ned Height: Peak=Hei�ht �FE: �'�'E minus�feet=�,�(Existi�ag Cont�u�r)`. <br /> � Perimpter(linear f�et}= 5Q%= #of Staries Ok? G YE� <br /> �'OR A 9UfLDIPIG WITH A BASEMENfi OR,C'RAWL SPACE: <br /> ' The distance between ihe Faw�t F�R A BWLDIWQ ON A SLAB�OUNDA'T�ON, <br /> 8TA#�i�LVItH prop�l fl+oor(ot�e'k�ment ot crawl � �, � � � <br /> apac8)and the,tiigf�t poin4 af the roof: - -�' START WI'IH R The'dis�nse be4wQan t�e�p of s .arltl ' <br /> p� ttte higlieat poitrt of tfie roof. <br /> ff you have a�... ` ��' � � IF you hav9 a... : <br /> • �� GAIBL@ OR tiiP � �� • GRBL-E OR,HIpPED ROUF(no _ ; <br /> ; windoxrsy: , wintlov�): Sub�act haif#�e distanca, <br /> � clistance bet�N � between the'high�t point of th8 roof i <br /> �� �� of tF�e roof tQ tl �� • � � r - ta the lt�w� iM of ffie co <br /> � $UBTRACTION �K��dingi SUBTRAC7'!ON 9able or Mip�ped rbaf' ��n��; <br /> � (�BPcSFD ON ROOF . . (`,q�(.E OR FlP� (BA9€D ON -. GABLE OR:MIPPED ROOF(with <br /> � � ' -�� '.. � `� � ��� wtndo�ps): sua� �, � �ioaf�reE� �� ` wrndov�} su�traa�rc�►e d�#ance; <br /> ( � tlista�betr✓e�, } bet+A+een me bop ar me nipnest � <br /> higNest wirnlow an, �p`��� ' window ar�tl tlte highest�iht of the <br /> i � _ pc�ht of;t�terocf r', ��" , _-_' s . LLf QTH�R ROOF TYPES`fl�, <br /> � � AI.L�071i�R 1200 � � �'�> � � � <br /> � • maneard,etc):Nqsy, � criansa etc:No ubtractlon. <br /> I , ADDITION Add the distance befiaeen the top Of sl�b <br /> SUBTRAGTlQN Subtt�aact the distance (BASED OP1 `"' and the high�t ex�tin�grade atljaa�nt to; <br /> I (13ASfD ON DQS`TING basemerrtTcaawi spac�ftoo�and the EXI5TING, the towndatlon. <br /> � GRADESY,: , high�t existing grade adjaceet to the ;, ORADES <br /> toundatlon qR 10 feet(wh)chever(s less). EQU S Qeflned�buildtng height <br /> � <br /> . <br /> I� Ei1UAL.S : Deflned bullding helg <br /> � <br /> � <br /> � <br /> � Shorel�nd.D�istricf ' MCWD Pecmi#Receiv�d Riv�r� e Lak��h�re.Serback Me#� �luff <br /> � Yes !� No G NJA ' �] Yes No ' <br /> I <br /> � �es � Na �es � No� CI N/A : <br /> ,` Pet�nit Numi�r.��'� , Sef�aCk: <br /> '� ' _ ; _ <br /> : <br /> I� ,Stor�t�rafier t�ualiiy �ctsking P �posed <br /> Ov�Na District'#'�er Hardlcover Ha_rdc�xer ���ance R�quired CUP Required <br /> ��� <br /> : �2.�07� � Yes : o � Yes' No <br /> � . ��t��� TYP�(s): TYAe(s}: � <br /> Updat�: January 2Q13 <br /> � ��� ` � <br /> v:\fbnnslpl�n t�eview checklist 2013.doc�c <br /> ` <br />