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r <br /> PLAN ReVIEW CHECKLIST,FOR Nim TRU`CTUREslAbDITIONS <br /> � Adc�ressiPermlt�lunnber �. ��d <br /> Description of work. <br /> Septic reviewby �_ Date Approved. <br /> Zoning review by: E#ate Approved:, <br /> Building review by: fete Approved <br /> Grading review by: Date Approved: w <br /> Zoning District: ..L <br /> _4Voning.File#: Reso# Reso_Date: <br /> Zoning: Lnt Area: SF/AC VVIdth. Lot Coverage: SF °Io <br /> Survey Submitted Yes D Np Date'o#$nrvey:' = '' `� ., Revised datecL► Z <br /> Prp` Setbacks: <br /> t(Lakej R r(Street) s ( B 1iw j� ( S_` B W �# .Other BulMings Wetland` <br /> ide Side <br /> qm <br /> Defiieed Weight:.. : Peak Weight ;' FF I : FFA minus 6'f. eet= L (existing Contour)' <br /> Perimeter(Iine+�Ii feet)_ �,' 5Q%o ��" #-of Stflries Ok, YES <br /> FOR A BUILDING wrol A ameMENt OR CRAWL SPACE: _ <br /> The,'distance between the 19"o, FOR A aUU.CfING.ON A SL A$.'FOUN0�1Tl4N:. <br /> '`1 _ START WITI9 <br /> pmpoged Noor(of'the.baewnent or crawl <br /> moll@ itighestpointo the roof ' Tf�e distance beriveen se lop of slafrand <br /> START YIl1TtI the highest <br /> Pont th@roof. <br /> lf.you have,a. <br /> If you have a.. <br /> (3ABt£OR WIPPED ROOF(no . CAF#Li`OR PMOM R00F Cno <br /> windows) Sob acthalfthe <br /> windows):'Subftot half the,distanCB i <br /> distarroe betweei}the highest parrt -" batar�p.the h{ pkat of,th ,ropf <br /> G of ttre Yoof to.the low ! W the Iow point of lite corresponding I <br /> SUBTRAdTION corresponding SUSTRAGTtON gaplecthippedrod <br /> °(BA+aj=D ON tttx0� tiABL OR H1F i SON • GAKE fJf MIPPED RO0F,,(Wft <br /> TYPE) wihdo") ROOF TYPE) windows): SubUact,haffthedistanoe; <br /> distance between tle'top of the highest <br /> highest window window acrd tfthighest point of ft, <br /> i roof <br /> polt►t 2f fire roof" <br /> AL t Oi FiEFf ROOF TYPES{flat <br /> ACt O Hf;R RO�t mansard etc No subtra#ton. <br /> mansarp etc) N9s AD jTl tJ Add the distance between lite top of sib <br /> TSUBTRACTIbN SWbfract tha:distanc e _. , (810.5£D ON and the highest exT "I grafi adjacent to <br /> Alf)ON MUST)t�G bes�Menticr_W1,space�lk fING the foundation. <br /> �• highest exisfiftg grade ad) Irtr►0>!5, <br /> 40Ati s) <br /> q� G foundation OR 1df et'( � „� EQUAI:S' tined building height <br /> t EWALS.. Defiiu�d`5ullt7tr►gneigh# <br /> r l s <br /> Shoreiand'Disfrict MCV41D Permit Received Avera" Lakeshore;Setbak 1Miet? Biu#f <br /> es tai WO D fid/A 0''y <br /> es NO <br /> es o No Y, G t, Ci` N/A <br /> ,47 <br /> Fermi#Number Setback: <br /> Storti ter Quality Existing Prapcis®d Variance Required` CUh itequ>rred <br /> Ov�rla District Tier Hardcover Hardcover <br /> ® Yes . NO Yes o'. <br /> Ty (i): Type(S)' <br /> Updated: January 2013 <br /> I v:lformsVian review 0,6ddist 20U.d0rbc <br /> I - <br />