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<br /> � P�►1� R�1ilE�i111 �HEG;�CLIST F�R Ii�EVU STRUC7°U�'2E$ / 14�D1TIOIVS
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<br /> ( �ddress/Perm�tNutnbsr: �'�� t � ��''�"� �����c ��m �s"�
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<br /> � Description of work. � � `'d�
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<br /> � Septic rev�ew by:� �D�te kpprovecJ �.' � �"` �-�. �
<br /> � � Zoning reWiew by: l�at�e ApprQved: � � ��� �- �' `�
<br /> f3ata Approved: �' ' t'� ��
<br /> h Building tevi�w bX: ,;,,r,� ,- � ' -
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<br /> Crading r�eview by: '�«°`� 3'�-* C3$te/�ppcoverl; �- �'�51
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<br /> � . Zot�ing District: —� ' Zoning F�le#: Reso#: R+eso Date:
<br /> � Zon�n � Lot Ar��; 3 � /AC . WidtM � Lot Crsve e �F °lo `
<br /> � J• �� �9
<br /> � .: 'Suwey Submt�tted: ��es G No Date of Surv�y: �~�0`� " Revised dat�(?):���D'1�
<br /> �� Pr ed S�tback�•
<br /> I �{Lake) ,pcaa�tStreet) �;. � � 3��„� ) � N �i�e �1 4ther Bu�tdings 1Alet#antl .' ,
<br /> � - ti-� �- t�:� � ���
<br /> � �� �� � � � . � � � . . �
<br /> i Deflnetl H�igt�t: .- ��F t,��r, Peak Heigt�t:�} ��E: �i� F��minus.6 fee#_ `d�� (�xYstipg Contourj
<br /> " �'� � `� , � ��'n� � �
<br /> 7
<br /> � . ✓ Pecimeter�linear�eet�=: - �-�r ` ,p"k= '��`�'° ': �of Sta�es �Ic? �'ES
<br /> � . � ~ ,�'�°��rf���� � ����,`� �
<br /> Foa A suii..pi�G vv�r�A BAs�nn�Nt oR c+�►w`w�spA�E. ,. y�2,74~
<br /> � , �'11e dis�nce between the lowest, - v fOR A BUI�.tlING ON A SL.A�3;FOUNDATION
<br /> �'t�1`-, START UVITW pmposed ftoor{of the 68seinent Gr crawi � 2^ '
<br /> f ��a"4-' s�ce)end;he higheat,�rir�t of the roof. . ihe disstience be1'+�een 4he top 9f s�ab antk',
<br /> Y' � 6TAR'L.WI�'H' ttte hi�h8st�int cf the roof,
<br /> � . N you have a... N yau have,�... .
<br /> � ' `CABL,E OR HIPH�D i�00F(no • '- �}16CE OR HI�PED ROOF{na
<br /> w)hdow8): S�btrat:t fi�if the, windo�Nsy,-Sr�btr�d italf the�ciisl8nc��
<br /> , dtafanEe betweeti Ure higt�esE pant . between the highest,poicrt pf the�of;
<br /> _ , ' ; � ,ttf tlte rgof.to tha low poir��of the � ' ' < to���the lovv�oird ot the,corr�poriding`;
<br /> � �'�`� SU�TRACTIbN ` correspondin9 gable or hipped roaP + SUBTRACTION, .9�bfe ar�tpp�i raaf `
<br /> �N�:*�s. (�AS�D ON ROOF �� . �� GAl3LE�OR HIPPED ROQF jwith �iP+S�C�C1N �� . GP�Bk.E QR'}iiPPED ROOF,(rvitla �i
<br /> T�� win�o+arS): 5ubttact hatf� R�OF T1'R� . Win�ovus}: Subtract half ffie dfstar►ce;
<br /> distance between#he iop qi the beiween the toP of the#�4�t '
<br /> � . hi�h�t wi�dow atad the higheat wl�dobr and the fit9fiest pWnt:of U1e"'
<br /> ' p6fnt ot`the r�f , raeif
<br /> • ` ALL'O'FFIER ROC1F'1'YPES(flat,� • ALL CY`i'H�t2 itOOF TYP�S(filat,
<br /> ; mensettl,etc):Mo subCtaction. mans�rd,�fG::No�subtractlon. `
<br /> � � �AbD ION� � Rdtl thQ,distanae befi�reen�e top of s18tl :
<br /> ���� , Sttp�rac�t tfie dis�8n�befiveen tlrte SED ON" antl the h
<br /> , SUBTRAC7'aON {BA 'hig �t�tlng�retle adjacent to�
<br /> �. �s�menfilcrawl spaGe floor�nd Yhe �, EJGI3TIWG� tfie ToAlmdatlon. �;>
<br /> �'`�. (BAS��ON EXI$'�ING highegt e�dstlng grade 8dj�c�errt to the GftAD�S
<br /> P'�i,�,� ��G�'' GRlyDE8}- 1ouL�de!Uon OR 10�f8ef(W(tichevei'is�ess 4
<br /> �. /�� #�y J' �• �fdUA4S Ei�in�!bulltling h�fgh4
<br /> 4 � �VV � � �l,�W��4J�����1� .
<br /> � ��"� �� �� ���� v N�r,�4 ��"� .
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<br /> j � Shoretand Dis�ri�t` �IICWD P�rmi�Receivetl � Avera e L�kesFwre Se#back 11�et? Biuff
<br /> � es .0 Na C7 NJA L� Yes 1� No
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<br /> � �s ONo Pe � �es " GWo ; ON/A ,
<br /> � . _ �� �'� rr�it�Number ������ � � �� � �� � ; �� ; 5etk�ack: > � . , ,
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<br /> C Stoamw�ter Quality Existi�g Propo��d
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<br /> Uverla Distctct Tier �Harcicoa�r Hardcover ,Yaria�ce l�e,�ui�ed . , . CUP Etequir�d ; . !
<br /> 4 a Yes � o � Yes o '
<br /> � ��a�� � ,� �YP��S)� � TY{�(S)�
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<br /> Updated: January,2013
<br /> � . v:iforrns�plan review checklist 2013.docx
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