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� , �L�f� ����E� ��ECK���� F�R E� �°��CTI�I�E� � �D�ITo��f�� <br /> �ddress: � � �,�� � Permi� N�.: ��E�Q - � � <br /> De�criptiQn �f vvark: -A-t't_�pd�+ J� �� f �.U1�� �ate �ec'€i: ��,Q'•� <br /> �; Se�tic r�vie�ns by: Ci�✓Vv �..� �-- � ,�,� D�te �.pprovecC: <br /> � �onir�g reviewa by: �ate Approvec�o <br /> C.c -7� l � <br /> � <br /> �uildinc� revievd by: Date�pprovec�: � � � <br /> Cradi�g revi�w by: �� v; Date Appro�ed: � � � ' � � <br /> �onir�g Disfirict: ��� � �on�reg Eile#: �� ����D� ���: Re�o D�te: ��_��'��J; <br /> w' <br /> Zor�ing: Lot�r�a: SF/AC 1lVicith: La�Cov�rage: SF % <br /> Sur�ey�ubrr�itfied: Yes E� No Dafe o�Sunrey:�� ���i� Revised date(?): <br /> f��r�e��cape pian subrni�tec6? � Yes � No �anc��caper: <br /> ff�ro osec! SetP��ck�: <br /> ° to IO <br /> Fr�rat(Lake�� �r(Stree�) � {� � � ) ( FI S � �) O F�er�cci@dinc�� l�etQ�c�d <br /> Sicke Sic�e s'�°o f-�QC-�- <br /> �Q � � � � �Cj' �. � <br /> Defined i�eic�h�: ��a� �8eic�ht: FFE: FFE rnince� � �ee�= (Exi�tie�� Contoui <br /> Reri�rneter(line�r fe��p= �Q% = L.�. �»e�o��r�c€� ; <br /> �: i <br /> �asement? � Yes � No, Storie� <br /> � <br /> �;,. 'i <br /> FQR A BUILDIFlCa IKITH A BASEi�iEB�T OR CRAWL SPRGE: FOR A BUILDING C1R R SL/�B FOUNDElTIO(�: � <br /> The distance between the lowest proposed Slab at or above grade— <br /> START WITH floor(of the basement or crawl space)and measure from hiqhest existinp ` <br /> = the highest point of the roof. START WITH rade to the highest point of the f <br /> ' �°"'�' roof even if fill was brought in to <br /> ��� � elevate home. ' <br /> If you have a... <br /> SUBTRACTION � GABLE OR PED ROOF(no Slab below e—measure ! <br /> (BASED ON window�:"Subtract half the distance from hi st existing grade to the <br /> ROOF TYPE) betw,e�n the highest point of the roof hi st oint of the roof. <br /> ty�ie low point of the corresponding f you have a... <br /> %gable or hipped roof SUBTRACTIQR� ° GABLE OR HIPPED ROOF <br /> �' GABLE OR HIPPED ROOF(with (BASED O (no windows): Subtract half � <br /> window.$): Subtract half the distance ROOF pE� the distance between the <br /> highest poi�t of the roof to ' <br /> between the top of the highest � the low point of the <br /> , window and the highest point of the <br /> � roof corzesponding gable or <br /> hipped roof <br /> _ e ALL OTHER ROOF TYPES(flat, � GABLE OR HIPPED ROOF <br /> � , mansard,etc:No subtraction. <br /> ) (wi4h windows): Subtract <br /> SUBTRRCTIOhI Subtract the distance between the half the distance between <br /> � (BASED ON basement/crawi space floor and the the top of the highest <br /> EXISTING highest existing grade adjacent to the window and the highest <br /> '/ GRADES) foundation OR 10 feet(whichever is less). point of the roof <br /> � ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALS Defined building height subtraction. <br /> Defined building height <br /> EQUALS <br /> �% <br /> Updated: October 2015 <br /> z:\forms�plan reuiew checklist 10-2015.docx <br />