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Lid[ L EVrartf CHEC(LM7 FOR NEW .LIciU a I ADC6T * <br /> Address/Permit Number: ✓ P6-6/vie.- <br /> Description of w orfs: ijat/ I%, <br /> • SeSeptic review by: t2 . / <br /> p Date Approved: - 13 1 <br /> Zoning review by: _:1.. �l Date Approved: erfi JS <br /> i3uifctirtg review by: Date Approved: t� <br /> Grading review by: h .,/ Date Approved: <br /> Zoning District: /{ Zoning File#: --0 Reso#: -' Reso Date: —Di <br /> Zoning: Lot Area: ,, SF I AC Width: Lot Coverage: SF % <br /> Survey Submitted: I Yes in: No Date of Survey: V I ef 115 Revised date(?): <br /> Proposed Setbacks: tfotitAV <br /> • <br /> Front(Lake) Rear(Street) ( N S E W ) ( (`' S E N ) Other Buildings Wetland <br /> Side Side <br /> 170 <br /> I it • r �� 6 <br /> Defined Height: #s, Peak height: ,, FFE: taO°fP FFE rtf e _= o t/(E,istfrtg Contour <br /> Perimeter(linear feet)_ Voq,CP 50%_iO #of StoresZ O ' I YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> /jam START WITH proposed floor(of the basement or crawl <br /> o space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have a._ the highest point of the roof. <br /> GABLEOR HIPPED ROOF(no if you have a... <br /> 6 Subtract half Othe • GABLE OR HIPPED ROOF(no <br /> windows).distancebetween the highest point windows): Subtract half the distanc <br /> of the roof to the low point of the between the highest point of the roc <br /> to the low point of the corresponding <br /> I 77 SUBTRACTION corresponding gable or hipped roof <br /> • GABLE OR HIPPED ROOF(with SUBTRACTION gable or hipped roof <br /> . <br /> (BASED ON ROOF (BASED ON GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distanc <br /> distance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> J <br /> e ALL OTHER ROOF TYPES(flat, a ALL OTHER ROOF TYPES(flat, <br /> �,, mansard,etc)-No subtraction mansard,etc).No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> Subtract the distance between the <br /> yUBTRACTION (BASED ON and the highest existing grade adjacent tc <br /> ' F I ,(BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. <br /> �' ��� GRADES) highest existing grade adjacent to the GRADES) <br /> ay foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> 1,*//j EQUALS Defined building height <br /> Shoreland District kriClr_"D Permit Received Average Lakeshore SKRet? flub.lli ;' <br /> UYes 'o ! Yes nNo ® N/A c` ED Yes _f ' O <br /> U Yes U No \ /A • <br /> Permit Number: - <br /> Setback: <br /> StormwEter Quality Existing Proposed <br /> Overlay District Tier Hardcover l Hardcover Variance RequiredCUP Required <br /> i- <br /> U Yes AlO l Yes ,-No <br /> Type(s): Type(s): <br /> Updated* January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />