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���a�� ������ �H�������° ��� ��v�' ����C°�u��� / �:�D�����s <br /> Adare�ss: ��&C1� �(�'�' Permit �lo.:_ �I�D -��C7 <br /> �e�crop#ion of work: _ G I�.�, �i��(�� Date�ec'd•_ 2-•�• �� <br /> 3eptic review by: ��C/� �--�I��, Date Approve�': <br /> Zoning review by: Qate Approvec�• <br /> � <br /> �uilding review by: D�te Approded: � l <br /> Grad'eng revieHr by: !V� Date Ap{aroved• <br /> ZonEng ais#rict: �� Zoning FUe#:' Reso#: Reso Date: <br /> Zoning:Lot Area: �S� �z- �' SF/AC 1�V�c�th: Lof Cover�ge: �J�� $�11��' SF ,�.� q <br /> Suroey Submittecf: �Yes �No ate o�Surv y: 2•�'1� Revised date(?)• ����t��0 <br /> �01- Q ��1 $'1R�/ (� � Qr� <br /> ���dscape plara subrni4teci �Yes ��o La�idsc�per. <br /> Pro osed Setbacks: <br /> Front(L e �ear(St etj� ,{ S E ' iN�j ( N S E � Other Buildi�ags Wetland <br /> /� � <br /> � Sede Sicie <br /> ��� ��� � J ,�.� <br /> De#ined Heigh#: Pe�k HsPght: FFE: fF�minus 6 t'eet= (Existing Contc <br /> Per�meter(linear feetl= 50%_;:_ L.F.beiow gr�c�e: <br /> B�semsnt? G Yes G Ma, �Staries <br /> FOR A BUIIDtIdG WiTH l!,BASEMENT OR CRAIIVI.SPACE: FOR A BUIL�ING ON A SLAS`FOUNDATION::: <br /> The distance between tHe`iowest�roposed Slab aE Or above�rad`a— <br /> START WI7'FI floor(of the tza'semeM or cfawl sp�ce)and measure f�m hiahes#exiatino . <br /> the highest pofM of the robf. ' START 1M'{H �to'tHe f�ighest poirat qF the <br /> soof even;if fi11 paaS brought in to <br /> If you have a...' ; elevate;fibme. <br /> SUBTRACTION • GABI,E OR WIPPED ROOF{no Slab betow grade—me�ure` <br /> (BASED ON windows): Subtracd haN fhe tlistance from highest existing prade to the <br /> ROOF TYPE) between tlae highest pofnt o��roaf hi M. �rrt of the <br /> tn the Iovw poir�t of the cor�es�ondin9 If you have a... <br /> gabte or hipped roof �. SUBTRACTION ' ��OR HIPPED ROOP <br /> • GABIE OR HIPPED ROOF�with (BASED ON (��ndow§): Subtt�t half <br /> windows;; 3ubVad half 3fie dishance ROO'F TYP� thd distance between the <br /> between U�e top ef the hiph�st higheat poirii of tlie roof to <br /> window and t�e highest pofnt oi the �low point of the <br /> roof . coriesponding gable or <br /> � • ALL OTH�R ROOF'fYPES(flat, ���fOOf <br /> • GA�LE OR HIPP�D RQOF <br /> mansard,eta):No subtraCtio�. (with windows):-Subtract <br /> SUBTRACTION Subtract the tlistahce between the;, half the distance beiween <br /> (BASED ON basementicrawt apaoe floor and the tha�p of tFae Aighest <br /> DCISTING hiyNest ebstlng grade adJacent to Itl1e windaa and�e highest <br /> GRADES) foundation OR 10 feet(whichever is less). point of the roof <br /> • ALI.OTH�R ROOf TYPES <br /> (flat,mansacd,etc):No <br /> EQUALS Defined bullding beighf subVaction. <br /> ` Defined'building helgtit <br /> EQUALS <br /> Updated: October 2015 <br /> z:\formslplan review checklist 10-2015.docx <br />