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FLAN REVLEIT C EC (U T FOR MEtkr STRUCTURES I ADEHT14US <br /> Address/Permit Number: L1 0 OC.D 5 (-- 43 AO 5 <br /> Description of work: Poo , <br /> IIIMONOMmammialalla <br /> �msommoy Septic review by: — Date Approved: <br /> Zoning review by: A A A d Li,/ Date Approved: 0005( if <br /> LBuilding review by � ��%,,_ _ Date Approved: 6- —1 Grading review by: t Date Approved: . <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coovera e: N SF _% <br /> Survey Submitted: Yes No Date of Survey: 5.1q • I Revised date(?): <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N i E W ) ( N S E W ) Other Buildings Wetland <br /> Side / Side <br /> Lk, tL,i f(4eck---- (c22-, <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour <br /> Perimeter(linear feet)= 50%= #of Stories Ok? ® YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest 1 r— 1 A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement or crawl , <br /> space)and the highest point of the roN &t �I,I:H The distance between the top of slab and <br /> If you have a S j j p�\ �, the highest point of the roof. <br /> • GABGABLE OR HIPPED ROOF 0 ��ii`�� if you have a... <br /> LE ): Subtract alfthe /`° , GABLE OR HIPPED ROOF(no <br /> windows): act half the distant <br /> distance betwee a highest p betw a highest point of the roc <br /> of the roof to low point of the <br /> SUBTRACTION correspo g gable or hipped rc t or low point roof eortespondin� <br /> (BASED ON ROOF • )N ,¢`�tiable or hipped roof <br /> TYPE) GAEL' OR HIPPED ROOF(with GABLE: OR HIPPED ROOF(with <br /> ,windows): Subtract half the . windows) Subtract half the distanc <br /> " distance between the top of the between the top of the highest <br /> r-" highest window and the highest window and the highest point of the <br /> / point of the roof roof <br /> ' <br /> c ALL OTHER ROOF TYPES(flat • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. mansard,etc):No subtraction. <br /> DITION Add the distance between the top of slab <br /> Subtract the distance between the <br /> SUB ION (BASED ON and the highest existing grade adjacent t< <br /> (BAS ON EXISTING basement/crawl space floor and the EXISTING the foundation. <br /> G ES) highest existing grade adjacent to the GRADES) <br /> foundation OR 10 feet(whichever is less). EQUALS Defihed building height <br /> QUALS Defined building height <br /> Shoreiand District fiICWD Permit Received Average Lakeshore Setback(Viet? Bluff 4 <br /> 0 Yes ® No ® N/A ® Yes !O <br /> 13 Yes No ® Yes f3 No N/A O" <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Kardcovey° Variance Required CUP Required <br /> ® Yes f i No D Yes ® No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />