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���� �.���c�� ������m��� ��� ��� �-����-����� � ���-�6��� <br /> Rddress/Perntit Numbee: � C� 1��=�-�-C Pr4 Cz kW �� n;: r � a � <br /> Description af rwock: 't L dv�-rU' 1� N�S i�l <br /> Sept�c revieve hy: (U M �� Date R,ppro�►ed: <br /> ZeniRg revievN t��: Dage Ap�roved: <br /> Buitding!review h�y►: '� Date A,pproved: — 'c.�: � <br /> Ge�,ding�evie�v b�: fv f�/�- Date Appraved: <br /> Zonir�g Qistrict: : �onir�g F�le�: Reso#: e Date: <br /> Zsn6ttg: Lot/�Pe�: SF/AC �ic9tte: Loi�Caver�ge: SF % <br /> Sur�►ey Sub 't��c9: �Yes �No Date ofi S�enreY: evis d date ? : <br /> Fro osed S�etb k�: <br /> Front(l.ake) ; Re�r(Street) ( � S E !W ) ( h� S E lW Oth�r BuEI ings l�►�fiand <br /> Sec�e Sid� <br /> ; � <br /> Defined Height: � Pe�k Edet�ht: FFE� FEE minus 6 feet=_ (Existing Contou <br /> Perimeter(iinea�feet)= 5fE%a = #of Stories Ok? � ES <br /> FOR A BUILDING TH A BASENIENT OR WL SPACE: <br /> The distance tween the lowest FOR A BUILDING ON A SLA@ FOU DATION: <br /> START VWITH proposed floor the basement or c <br /> space)and the hi est point of the START WRH Th distance between the top of siab anc <br /> � lf you have a... <br /> th highest point of the roof. <br /> H ou have a... <br /> � • GABLE OR HIPP R F(no • GABLE OR HIPPEDROOF(no <br /> ! windows): Sub ' f the windoars):;Subtract half the distam <br /> distance between. ighest pant between the highest Point of the ro <br /> of the roof to the `w po t of the to the low point of the co <br /> SUBTRA TION corcesponding ble or hi roof rrespondir <br /> ' SUBTRACTION gable or hipped roof <br /> (BASED�N ROOF . GABLE OR IPPED ROOF 'th (BASED ON . GABLE OR HIPPED ROOF(with <br /> ' TYPE} ; windows)� Subtract half the ROOF TYPE) windows); SubVact haif ihe distarn <br /> i distan' tween the top of the 4etween the top of the highest <br /> ' high window antl the highest window and the highest par�t of the <br /> ! poi of the roof ` �f <br /> L OTHER ROOF TYP�S(flat, • ALL O7HER ROOFTYPES(flat, <br /> ` mansard,etc:No subVaction. <br /> , mansard,etc):No subtraction. ADDtTIQN A d the dist�nce beMreen the top uf slat <br /> SWBTW4�CTION �a the distanc@ between the (BASED ON a d the highest existing grade adjacerrt t <br /> (BASED(JN EXISTING semeM/crawl apace floor and the EXISTING th foundatlon. <br /> GRADEd) highest existing grade adjacent to the GRADES <br /> y foundation OR 10 feet(whichever is less). EQOALS D flned building height <br /> EQUALS� Defined building hefght <br /> � <br /> Shoreian istrict liflCWa Pe�if Received Adera e �ak ore Setb�ck et? Bluff <br /> ' Q Yes � Nb 0 N/A � Yes � Nc <br /> 0 Yes � � No 0 Yes � t] N/ <br /> Permit Number` . Se�back: <br /> StorEnvv�te��ualiiy Existirag ���posec! �a�iance Required UP Rec�uired <br /> Overla t3isttict Tier Hardcover liarc�covee <br /> C3 Yes � No '� � Yes � No <br /> ; TYPe(S)� YP�(S)� <br /> Updated: January 2D13 _n—,, t <br /> v:\forms\plan review checklist 2013.docx �� � �'��►�T�'v <br /> C� <br />