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Plan Review heckl! dor e� tructur / Additions <br /> Address/'PID!Le al: <br /> Description of work: <br /> , : - -, I <br /> Septic review by: � Date Approved: <br /> Zoning review by: <br /> Date AP proved: <br /> BUHd1n4L review by: Date Approved: `8 <br /> Grading review by: Date Approved: <br /> Zoning File* _ Resolution#: Resolution Date; <br /> Zoning District Fire De artrnentPost Office School District <br /> Zoning: Lot Area:. S AC Width: Depth: <br /> Survey Submitted: es ® No Date of SuNey: g°d <br /> Proposed Setbacks <br /> Front, e) ear rest)' ( N S ), ( N S Other Buildits Wetlands <br /> SIfe de <br /> Building pefined`Height: Building Peak Height: #of Stories Ok?: ® YES <br /> Foie A BUILDING MTIJ A(BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB.FOUNDATION: <br /> i <br /> START WITH the distance between the basement floor/crawl , START the distance between the:slab and the highest`. <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of woof, ' <br /> the cornice of a•flat roof,the deck line c <br /> the deck line of a mans ,or the <br /> mansard roof,or the uppermost i, on a round uppermost`point round or other arch-type <br /> or other arch- roof roof <br /> SUBTRACT half the distance n the highest window and SUBTRACT half th istance between the highest window <br /> k►i hest roof of a `itched roof hest roof, eak of a itched roof <br /> SUBTRACT the dista_ tween the basement floor/crawl ADD . the distance between the slab and the highest; <br /> sp, oor and the highest existing grade within existin " rade within the foundation <br /> t oundation or,10 feet,whichever is less. EQUALS pefined builitin height <br /> EQUALS Defined WIdin hes t <br /> Lot Coverage: SF <br /> Stwreiandi District Mc—wo Pennit Received Average" Lakeshore Setback Sluff <br /> ® Yes o' ® N/A Yes No <br /> 0 Yes 0 No 0 Yes No !A . <br /> Permit Number Setback: <br /> Hardcover hones Existing Pro osed Variance Re¢iWfred CUA Required <br /> 0-75' 13 Yes o ® Yes No <br /> 75-250'. Type(s): TYPS(S): <br /> 250-500' <br /> 500-1000, <br /> REMARKS (in-house) <br /> Updated: .09/11/2009 <br /> z'vormsWan review checklist,docx <br />