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PL=AN [ EVEfE f C KECKUST FOR HEW STRUCTURES / A.DDr r[oE s
<br /> •
<br /> Address:
<br /> ' $ t,•. • At.'I a/, l' 5 Permit No.: Ko - o (0q
<br /> Description of work: litt Date Rec'd:
<br /> Septic review by: t
<br /> i tor 1— lit Date Approved:
<br /> Zoning review by: Date Approved:
<br /> Building review by: Date Approved:
<br /> Grading review by: Date Approved:
<br /> Zoning District: € Zoning File#: E -",.:5,, '7Reso#: t, Reso Date: �' '
<br /> Zoning: Lot Area: .CO 1 SF IC) Width: Lot Coverage: SF
<br /> Survey Submitted: D Yes D No Date of Survey: Revised date(?):
<br /> Landscape plan submitted? D Yes D No Landscaper:
<br /> Proposed Setbacks:
<br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
<br /> Side Side
<br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Conti
<br /> --- - ----- ------------------
<br /> Perimeter(linear feet)_ 50%=_ 570 O O ®rcr„„1�. 5
<br /> Basement? D Yes D No, Stories t l
<br /> cMCI 5W .._ 10+ Ciba _.
<br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
<br /> The distance between the lowest prod re(adda"" Cgt°`tiiV - -
<br /> floor(of the basement or crawl space �/�
<br /> START WITH the highest point of the roof. e,Q le e j
<br /> lfyou!''''',4:11i,`''
<br /> SUBTRACTiO� _ � , iia. ;'QED ROOF(rn . • Y �ki • C ,
<br /> (BASED. • ` '" ict half the df:
<br /> st point of tt; C S ' (X' L(.0 wai ifirl copitb or
<br /> ,, 1/4)t ff V oit
<br /> z , GOOF w
<br /> x sem. 5�,� =.r`i i, rx'^ ;� t
<br /> ; Tib-.. '""`°"' -w .' 7 iz� ,a, . .(fl.
<br /> -1;..r-IA t- .„:,,c,„,..z-0:,:,,-;.,--,_,,,,e;,;.,,,,,,,,,:,,,,mkve .:,t.4-',-„-,-__ - .. ...:_ til � �i 2,-7.
<br /> N.:.i---t,,:s f-.17(-,-'',,,,,'-:p:-.4.0 4 2,---?...,-,,A,-,,-4, : -...„,,,,,i-;;,:z.':k.,:-..-- , (II P4 t
<br /> X :/./ � !°
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<br /> Updated: May 201,
<br /> z•\forms\plan reviev ..ocx
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