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T PLAN REVIEWd-� �KUST FOR STRUCTURES / f DDITIONS <br /> Address: ...1 cl l7 t71.Q C. S714,.... �. t�-c� Permit No.: <br /> s <br /> Description of work: Qo R$ l/Vtwpo s /NS✓ -r b Date Recd: <br /> Septic review by: orf i. Date Approved: <br /> • Zoning review by: 0`' Date Approved: , <br /> Building review by: , (-74„...... D�Ite ►p�proved: .,.5---/'5--'! <br /> Grading review by: N//-� ,_ • Date Approved: <br /> f <br /> Zoning District: Zoning File# Reso#: Reso Date: <br /> Zo .11g:Lot Area: SF I AC Width: Lot Covelrage: SF %o <br /> Surve Submitted: 0 Yes No Date of Survey,: .Revised deter <br /> Propos etbacks: <br /> Front(Lok Rear(Street) I N Side vv..),, <br /> ) 5, N Side ) Other Build' gs ; Wetland <br /> Defined Height: • Peak Height• _ . . FFE: :F'FE minus S r .'t __ ,__,_�(Existing Contoi <br /> Perimeter(linealr feet)a 50% <br /> bw <br /> '' .� bel grade ::�of Seel; <br /> FORA BUILDING WITH A BASEMENT WL SPACE: • FOit A BUILDING • 1.4..:41,44!.1-..FOUNDATION: ,r <br /> The distah n the i ro sed ' ` <br /> oft a Pb" T di$ �h1he pf <br /> - .r ' t' AH• Joor OR ' - -ths2. Wy pa sej'and' °"� '' S',. - VYII #- ` sf Cy tf lie a4t gae <br /> the highest point he roof.•.r <br /> if you-have . , If u have , <br /> • GABLE OR HIPP a ROOF no <br /> �L QR PED ROOF " <br /> ' windows): "Subtract =If the disfance !! .S13Btrabt half <br /> You-have <br /> een he igh .9 e t Eif then roof + l� tw8 l�' - <br /> to the low int of th s r i r , ow In of e <br /> SUBTRACTION gable or hipped rugf e o } <br /> (BAS` ON GABLE OR HI ED ROO ( '•,` SUBTRAA Tit t <br /> ROOF TYPE} windows) Subtract half the dlstd (BASED ON J GA OR HIPPED OF <br /> between the top ftth�ehighe � . 7 ESE) F , `(� '��r <br /> window and the highest point a fps e:di�ir ce <br /> roof thetop,o'the hl <br /> • ALL OTHER ROOT`TYP jflat � '� . <br /> mansard,etc):Nosu otion. nt rH�t roof <br /> SUBTRAGTI•N Subtractthedistance nth ..,..„,.,...:...-..s..,-„..,-„:„ <br /> r sR' ,` PE3 <br /> IbtrYds #C)`IJo <br /> (EASED AN basemeiitkxawl s Hoot aid the •� , � '-..•.1',..1:,..-"L'',-,,,,i-e,:.,:..-,...,''';.r. <br /> � ' � � k <br /> • EXISTINt highest existing g- a adjacenttothe A`DDITI ` r � ' e dl i ween the fop <br /> GRADES} foundation OR o feet(•whichever is less) {BASED ON of slab enddhe highest-exi <br /> EQUALS Defined• dingheight • EXJSiit;tG <br /> ORAbEs�. • .� �} ►t� ����p'y <br /> ',EQUALS Definedbu ling height <br /> Shorelartd i)istrlct MCWD Permit ` `verage i.aiiesfiore Bluff <br /> IwetZ <br /> O Yes D Permit Nurrlber. 3 Yes �.No t ail Yes` No <br /> 1 0.N/A see attached = ` ei#baclt <br /> uv <br /> Stonnwete;CI' <br /> ity Praptised <br /> Overla Di- rict Existing Hardcover <br /> Y (%and s>) Hardcover -Variance Required �► - Required <br /> Tier(circ one) (%and sf� <br /> D Yes 0 No - 0 Yes 0 No <br /> 3 4 5 TYPe(s) Type(s): <br /> Updated: January 2018 <br /> z:\forms\plan review checklist 2015.docx <br />