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.�����°� ����e�� {-����������� �°�� ���� ���������� � �� �f���� <br /> Address/PID/Legal ��� � ���,�.�= QD -��C�3� v i� 4� � �� <br /> Description of work: l.9�c-� �'� � <br /> Se�tic revi E�y: �tr/,� Qate ApprQvec�: <br /> Zoreir�g r��i wa by: �at�Approvecf: <br /> Builc4ing re 6ev�bY� � D�te Approvec6: �- — ► ( <br /> Graciing r� i���by: _ �0�- _ Dafie Approv�ed: <br /> ;oning File#: Resolution#: Resolution Date: <br /> �oni� Di trict �Ere De �r�me�t P��t O#'fice chool �iste�ict <br /> Zoning: L t Area SF/AC Width� D pth: <br /> Survey Submi t� Yes � No Date of Survey: <br /> Pro osed Setbac . <br /> Front(Lake) ear(St�e�t) � � �E�e � � � � �ic�e ) Ofher BuiE ings �fe+efil�nc� <br /> Building Defined Height: Building Peak Hei of Stories Ok?: t' YES <br /> FOR A BUILDiNG TH A BASEILAENT OR C WL SPACEC FOR.A Bl11LD11�G OI�A SLAB FOU DATION: <br /> START WITH the distance beiween the b ement floor/crawl START the distance be 'een the slab and the highe: <br /> space floor and the highest r f peak,the top WITH roof peak,the t p of the cornice of a flat roaf. <br /> the cornice of a flat roof,the de line of a the deck fine o a mansard roof,or the <br /> mansard roof,or the uppermost p ' t on ound uppermost poi t on a round or other arch-typ <br /> or other arch- e roof roof <br /> SUBTRACT half the distance between tMe highest ' dow and SUBTRACT half the distan 'between the highest windov <br /> hi hest roof eak of a itched roof and hi hest r f eak of a itched roof <br /> SUBTRACT the distance befween the basem t floor/ ADD the distance b tween the slab and the highe: <br /> space floor and the highest exi ng grade with existin rad within the foundafion <br /> the foundation or 10 feet,wh' ever is less. E'QUALS Defined build' hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage Sf % <br /> Shdret nc� district l4�C'�� Pecrr�st E�eceived Ave e E.akeshore Setib� k Bt�ff <br /> � Yes CI No � N/A D Yes 0 No <br /> � Yes f3 No � Yes � No � /A <br /> Permit Number: Setback: <br /> Haedc er Z es Exi�ter� Fco osed Va�riance Re iced CUP Re aieed <br /> -75' � Yes 0 o Q Yes 0 No <br /> 7 50' TYPe(s): TYPe(S): <br /> 0-500' <br /> 5 -1000' <br /> REMARK (in-house): 'UO �, e <br /> Updated: U 11/2009 <br /> z:lformslpla review checklist.docx <br />