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� � �� ���'��c� E���«c� ������Cc�� ������ ������ ������c,���� � �c�������°�� <br /> Address/PID/Legal: �� �� � � r�� v'�� �i�1 � Q <br /> Description of work: � ' ` � �' ' '� <br /> Septic reviev�tt�r: Dafe A ' � � <br /> PP��ved: � � <br /> 2oning r�vie�nr��0: �ate A�provecl: �'�'EZ• <br /> Bu�6ding review by: �ate kpprovec�: �--�4b-�2. <br /> Gradinc� rediew+L��: � � �ate Ap�roveat:_ Q-L�$o E� <br /> � �00 t.�?a..� <br /> Zoning File#: � Resolution#: �.�� Resolution Date: <br /> Zonir� Disfric� �ire De ar�rner�t �o��Office Sci�oQl �i�trict <br /> Zoning: Lot Area: a SF/AC Width: Depth: <br /> Survey Submitted: �Yes �� �'iUo Date of Survey: � ` �� <br /> Pro osed Setbacks <br /> Front(L � Rear(�j (� S E � ) ( i� S E �i6 } O er Buildin�s 1l�etlared <br /> �ide Sicfe <br /> � `� � � `��6 . <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: D YE: <br /> FOR A BUILDIRG V�IITH A BASEMENT OR CRAWL SPACE; FOR A BUILDING ON A SLAB FOUNDI►.TlOid: <br /> START W1TH the distance between the basement flood crawl START the distance between tMe slab and the highe <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the comice of a flat roo� <br /> the cornice ofi a flat roof,the deck tine of a the deck line of a mansard roof,-or the <br /> mansard roof,or the uppermost point�on a round uppermost point on a round or other arch-ty� <br /> ' or other arch- e roof roof <br /> SUBTRACT halfthe distance between the highest window and SUBTRACT 'half the distance between the highes#windo� <br /> hi hest roof eak of a itched roof and hi hest roo.f `eak of a itahed roof <br /> SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab andthe highe <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage:�..��, Y� �-� SF �(� �,� E�� % <br /> �hQretanc6 t2is�rEcfi R4CI+�D Perm�t R�c�ivecf �ave�ra e Lakeshare Setback : Bie�f� <br /> � � Yes 0 I�o CI �tlA ' 0 Yes Nc <br /> ��Y'Yss � t�o � Yes � No /A <br /> Permit f�urnber: � Setback: <br /> Harcicover Zones Ex6stir� i�ro osed �/ari�rtice Re ui CUP Re air� <br /> 0-75' ..-- O_Yes No [7 Yes No <br /> 75-250' -- ,,,,v.... Type(s): Type�S�, <br /> 250-500, � .�� <br /> �500=10D0' �„7• � � • . <br /> REMARKS (in-house): �t � <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />