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E�'�,�.f�� ��°��'f�'��� �.�E��������' ��� ����� ��°����P���� � ��::I����E��� � <br /> �.dc�r�s/PeemEt R!urnber: ��C��. ��t_�� 1��� <br /> Descri�ti�� o��e9c�ke ��t����. �`�s�b�� �•��� a r+� ��.��a,a�� <br /> Septic r�view�y: � ,�o d3 ��t�Rpproved: <br /> Zor�in� �ev6e�a by: .�1��. �1�- �ate Approved: �� - � - ��� <br /> �uilc�ir�g revievr b�: ,.�•`�C��,� _ Date kppraved: tc:. ,- 1 - r +-r <br /> ,—�-- <br /> G�c��rag reviev�b�►: ," �'1�� D�te Approved: <br /> ZQe�Eng Disfirict: ��e�@ng �ele#: t�es�#: Iteso Daf�: ..-- <br /> � <br /> ZoRi : LQt At'e�: SF/AC L�Edt61: �ot CovePB�e: SF �% <br /> S�r�c�1R� i��d: �Yes � No Da��o�S�rvey: Revised date � . <br /> P�ca crset! Setb k�: <br /> FEant�Lafe�j Re�r(Str�eti� ( � � E � � 6 F8 S E �V � pt�er Bu i��s if�'etiaRc9 <br /> ��e�� S�e�e <br /> Deflned kei�ht: e�k F��Eght: FFE: ` FFE mi s 6�eet= {Exi�ting��ontou <br /> t�e�r€�e�er(linear feet)_ �d%= #of Stor �k? C3 YES <br /> �OR�,BEJILDiPdC 1�iTH l�BA�EIi�ENT OR CRAVdL �.CEC <br /> The d stance between lowest �O BUILDII�G Ok A SLAB FOUNDATiONt: <br /> START WITW proposed floor(of the ba ent orcrawf <br /> space)and the hiphest point the roof. Th8 disfance between the top of slab arn <br /> START WITFO �e highest poiM of the roof. <br /> If you have a... If you have a... <br /> � GABLE OR HIPPED ROOF . GABLE OR HIPPED ROOF(no <br />' windows): Subtract half the � windows)� Subtract half tt►e distan <br /> dishance between the highest poin betweert tha hiphest'poi�t of the rc <br /> of the roof to the low point of the <br /> SUBTRACTION corresponding gable or hipped to the low poi�of the correspondii <br /> SUBTRACTION g8ble or hipped roof' <br /> (BASED ON ROOF e GABLE OR HIPPED ROOF( ' (BASED ON � GR$LE OR HIPPED R�OF(with <br /> TYPE� windows):Subtrad haHthe ' ` ROOF TYPEj windowsj:;Subtract half the distan <br /> distance between the top the between the top of the hfphest <br /> highest window and the ghest wfndow antl the highestpoint of th <br /> poinf of the roof `,roo# <br /> ALL OTHER ROO ES{flat, • ALL�THER ROOF TYPES{flat,` <br /> � mansaM,'etc)� subtractio�. mansard etc:ko subUaotion. . <br /> SubVact the distan between the ADDRION Add!he distance beMreen the top of slai <br /> SUBTRACTION (BASED ON and the highest existing gratle adjacer�t <br /> (BASED ON EXISTING basemerrt/c,�awl ace tkwr and the JSTING the foundation. <br /> GRADES) highest existi rade 9djacent to the E� <br /> foundation O 10 feet(whichever is less). EQ S Deflned buiWing heigM <br /> EQUALS Deflned fding height <br /> �hcre6ar�d Di�t�ict Fd�CO�� P�rnrtii�Recefv�d Aver� e Lak�hore S���a�c �t? �lu� <br />, F] Yes �9 No � N/A CP Yes � Nc <br /> � Yes �i o EE Yes t� No !� N/A <br /> Permit Number: etback: <br /> �torr��rate �a(i�+ �xBsk�ng P��p��� ��ri�.c�ce Requir�c� CtJ� �e�aire <br /> O�e�i� str�ct f�ee �{�rc�c�v��r kaedcovec <br /> � Yes � t�0 1� Yes o <br /> TYpe(s): TYpe(s). <br /> , <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.doac �%� �-7-t�/�°�� <br />