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LA ! RrivrEw Criricrtusr FOR NEW STRUCTURES I ADDITtONS <br /> d� � <br /> Address: A �'�� Permit No.: .. 0647 <br /> Description of work: 1. ; r ' t �_ ,,, / I .: _ ! Date <br /> Rec'd: 1°22 . 15 <br /> Septic review by: ( t- W Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: Date Approved: <br /> ( <br /> Zoning District:2. Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: Ile Rio a,AC Width: Lot Coverage: SF % <br /> Survey Submitted: 'es D No Date of Survey: i• I °(.5 Revised date(?): <br /> Proposed Setbacks: <br /> Frontyre Rear ey. ( N S O, W i¢ ( N S E ` Other Buildings Wetland <br /> Si -j Side ' <br /> 2-v' 5.. ' ,i, lb <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet a (Existing Contou <br /> Perimeter(linear feet) = 50%= L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> the highest point of the roof. roof._ <br /> If you have a... If you have a,.. <br /> • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF <br /> windows): Subtract half the distance t(no <br /> he windows): Subtract half <br /> between the highest point of the roof higthe distance between the <br /> to the low point of the corresponding` the paint of the roof to <br /> SUBTRACTION gable or hipped roof the low point of the <br /> corresponding gable or <br /> (BASED ON • GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON - • GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> mansard,etc):No subtraction; point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASED ON basement/crawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height FASTING <br /> grade adjacent to the foundation. <br /> pRADES) <br /> EQUALS Defined building height <br /> Shoreiand District MCWD Permit Average Lakeshore Setback Bluff <br /> fillet? <br /> le <br /> Yes No Permit Number: D Yes Q No 4,N/A D Yes No <br /> Q N/A-see attached Setback: <br /> Stormwater Quality Proposed <br /> OverlayDistrict Existing Hardcover <br /> (%and sf) Hardcover Variance Required CUP Required <br /> Tier(circle one) (%and s9 _ <br /> filk' 16 (L (l ' r D Yes D No D Yes D No <br /> 1 2 3 4 5 ;0; 1 . Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />