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<br /> /lddre$s: _ ���.J F`�i�c�� ��� Q�1 Perm�t No.:� - ����'"p
<br /> Description of work: �i �� Date Rec'd: �� '�"1• �.�_
<br /> .:.;
<br /> Septic review by: DatE Approved: j
<br /> Zoning revievN by: Date A,pproved:�_� ��
<br /> Buildi� review b • � : ''�
<br /> 9 Y• 'Date Approved: � Z l
<br />� Grading review by:�_I�-�i:t��� t�,��i1iU It,NJ. Date Approved: E
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<br /> Zoning District: �!�"' �� Zoning Fii�#: 'Reso#: Reso Date:
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<br /> Zoning: Lot Area: �� �� SF AC Wid�h: �Lot Coverag8: gF � To
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<br /> Survey Submftted: ''�Yes Q No Date of Survey; �� •�� `�� Revised datel?)c
<br /> � �
<br /> ` Landscape ptan submitted? �Yes Q:No Landscaper: `'
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<br />; : _
<br /> : Pro dsed Setbaaks:
<br /> ` � tOC� j��
<br /> Front( e) Rear(St,�t) ( N S .`E � � �
<br />�
<br /> }"" _ ) ( N W ) Oth�r Buildings Wetland .E
<br /> : ra� s���a . "'�;d�
<br />, � .l � ,
<br /> $�J`.� , y�c,�:
<br /> � : �
<br /> Def�necl Height: �� ,lt�" Peak Heigirt ��',��t� F�'E:j:�- , FFE mint�s'6 feet= � �'�` � ��
<br /> 2 �
<br /> .-. .�
<br /> --� . {Eici"st�ng Gon oi
<br /> �� � � ,
<br />` Perirr�etiar jlinear feet)= � � ` 5fl�/o= � ��� �� �� ? � �.F.�beloiw,grade��„ '
<br /> ° ' E
<br /> Basement? ! ��
<br /> �Yes � No� , �,. Stori�g � r_
<br /> , ..
<br /> . .
<br /> � ;
<br /> � � � � ��a �,.� :��� �� � � , ., �;: , �
<br /> ...
<br />� �x�.�� « e, ��:'► � � �� � `��
<br /> FOl4 A BUILbINO WiTH"A�A3EN@ENT`OR CRAWL SPACE� FOR A UIL,��Nf�0�1 A$LA�"�OUNDA7JON, j, .
<br />; � _ � ��- � :_ � y � �
<br />' 'I'he distanee between tMe i�st propcssed { $lab At orabove gra�le
<br />; fltwr(of tl�baSemeiif or Cf�wl�space)arld � � �
<br /> �� r�r�' STARTVti1TH 5� � measureiror�t�(ghe�texisNnb �. .
<br /> t � � ,. the highest poirrt of the md(. �
<br /> ., ;{,�-� 8�'A�21'WITH 9�ag td Hie Fi(9hest'p�int oFfihek
<br />� . �:� $. robfeveniffllFwaS•brbugAtyntc"r �
<br /> If.you have:a... �w � elevate home:
<br /> � , � _ � _ ,
<br /> �W�TRACT�QN� • GABLE OR MIPPEQ�200F(no :� ' � ��� Slab bsfo�t glado ►t�e9�ure � '
<br /> {BAS£D.DN Windpws): SubVact� 1f the diStance p - ftorr�higM�ezi8lln�gte�de}p t�ie "
<br /> • . � .
<br /> }�OOF TYP�} between#�e fiighesf'�tnt af^th'e roaf gi fies M�f the�aaf;
<br /> �+ to the low point of tt��Cortesponding If yo4��asre�...
<br /> gabls or hipped roof : � . ;
<br /> �4�•Of2 MII�J�E�RO(�F ;:
<br /> '"a`�-�� ��� StlBTftAGTi6N� frM wind�ws
<br /> ��„ �„�,! •� GABLE OR WIf�PEI�l�L�QF(with�: � � (�AS`�C}OTt� � l� � SubEt�ct�If.�'
<br /> ,} r windtiws): Subfract'��If�e cGstancs s RO�F"�'YPE) �t8�i�fai�ce betwe�n the�
<br /> � hetwpen ihe top of hiphest , . � •. �� fifghest poirrt of the roof ti5 "�
<br /> win�iow and�Ifie di8��p�M Of the � ,; '` �the f�i point of•tli� -� �
<br />� *- .
<br /> roof .,., � . . ; ' cer�esp�ndf►�g gabfe or , ,
<br /> - • ALL OfiHER R00�`aYPES(flat:. i � ��RAed P�of: , .
<br /> �L�9R HIPP�4 RO�F'.
<br /> E �:� � �� � man_sard,etc):�No sk�ptracfion. • � � �.(wifh�ri�o+ivs): Seb�
<br />� SUBTRACTIdN 9ubVact ifie dfstance betv��eo the . � half the distaoce►�twee� .-
<br /> ,, ,r�°' (BASED ON basemenf[crawl spaoe floQi and the = tfie boR of Urs hi,ghest { '
<br /> .it w.�� � '� = EXY�TING highest e"x(sting grade ad��ent to the . � wiiadcw and tt�e hig(�st"
<br /> 1�' �, f ��'^� GRADES) fcundation OR 10 feet(whiChever is.less). ` poinfvf tfie ro,of 3
<br /> � a ' , . 'ALL OTHER ROOF T1FP�S
<br /> ,+ . ,�
<br /> ;���" � ��(flat,inansard,etc).No � �
<br /> �QUAl3` Defined buildfng he1gM: " • subtr8ctiba. '
<br /> p �� l� ` ' Defined buikling height
<br /> ,a„„_....,. �i EQUAL8
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<br /> Updated: October 2015
<br /> z:\formslplan review checklist 10-2015:docx :
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