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���.� ������ ������� � ��'� ���� ���������� � ��������5 <br /> � � <br /> Addres's: ��� Perrrtnit tVo.: �+� '�� <br /> Description of+�rork: P ��4.��� �'1 �=�S� ate R�c'd� �'�•��O <br /> ' Se t@c review b � ��'� �--�(�,f� r--.."',""` <br /> , p y. Date Approv�d• <br /> Zoning reviewr by: Date Approved• � ti� ' <br /> Building review qy: Date Approved: � <br /> Grading review by: , Date Approvecf:�i��t,_ <br /> Zonin , DEst�ict: L tC , <br /> 9 ' .` Z�ning fil�#: �Jgd Reso#:�� _ Reso Date: �.'�' <br /> Zoning:Lot Area:�Qs � SF AG lEVidth: L.ot Coverag�, �.3�,�gF �"' ' <br /> �!lOYV lao0 a . <br /> Survey.Submltted: �Yes t3 No Da#e of Surv�y: �'L��. Revised date(?1• <br /> Landscape plar�submitted? 13 Yes p No �ancls�aper: <br /> Pro osec! Sefibacks: ; . <br /> t�V+ . � :- , . <br /> Froa e) Re�r(S� , ( �! S � yV ) ( i� S E 1A1 ) Other Bteildengs Wetland <br /> Si� Side :-�p <br /> , . , , , . <br /> � 25,L� ; l�.3` g� � <br /> De�fined Weight: Peak Height: FFE: FfE rr�inus 6 feet= (Facisting Conto <br /> Ferimeter(linear feet)_ � 50°l0= _1..F. t�ei�ow grade <br /> � _ <br /> � Basernent7 �Yes G�Vo, �_Storie� -. . <br /> � <br /> , . � ; _ . <br /> , , <br /> , �OR A$WILDINCs Y�lITH 4►9A9fAlIENT OR C�'tAV�IL SPACE: = FOR A Bl1�L•DI1�G ON A$LAB`FOUNDAT10A1:,` <br /> '1'Ne tlPstance�etween Uie idwest prcposed �lab' b��boye g'rade= <br /> START WI�H floor(of tMe b�9semeM or erawi spac�and r4�ea8nre f�Qm <br /> the hiefiest p�irrt of the roof. • START WtTH 1he h�gfi".`' t of�the . <br /> ui ���. <br /> . _ • . , k ` ' (rot even"If fill ,:rougt#iri to -� <br /> � lf you Havg a:..�:� � eteva�e..� <br /> � SUBTRACTION , • �4BL ` NIPPED ROOF(n4 St �r Qrad6-rt�8,gure•. <br /> � . (�ASEt�ON wm j: Subtract haif#tie distan�e . rr�fi��hest exisstir�g grade'�a She: <br /> i <br /> �� i200FTYP�J �� �rthe#�iph�t'point,ofthewof � hest":��toft�ei�aof, � <br /> 16 <br /> the ic�w poirn of the correspcindin9 ` 'if yau have a.. <br /> gable o�hipped r4of. SUB 710N " ����dR k11PPED ROOF <br /> ` � • GABLEiOR H1PPEb ROQF(with , ' (BAS �OM ���'indows):'Sllbtt2cf;h�if <br /> � , v+nnd }�� SubUac�t�alf ttie di�at�c� R TYPE) `��ist8nce,treiwesrl the <br /> es, <br /> - betw�tltetop oT the highest hi�tiegt pqint o�tfie roof to : <br /> Nnndgw nd the hig�est poii�fi of the � fihe 1aw-point of th9 � <br /> rooT �`' � cotr�spot�diri�gatiie or <br /> . .. � . , . - `. , - <br /> . Mip�d roof � <br /> � • ALL OTHER ROQ�IYP�S(flat, • (�,e,BL£QR HIPF�D ROOF <br /> mansat�;etc):No subtraction: � (wifh wintlow�): 5t�btraot. <br /> SUQTRACTIdPI Subtra�t ttie djstance belween the hagtkis distarlce 6eiween <br /> (BAS�D ON baserr�enUcr$Wl space tloor and the ttie't¢p o�T the higtis�t <br /> E�XISTING highest exfsH►�g gtade adjac�#to� � wlndow and 6�e highest <br /> GRADES) . foundation OR 1b feet(whicMever:is less): poik�t of the roof , <br /> . ,. � AtL QTHER ROOF TYRES <br /> EQUALS Gefined bulldin Mei ht � 'tflat,manserd,ete):Nq <br /> , ; . 9 9 gutrtractien. <br /> ' Deflried building " ght <br /> EQUALS <br /> Updated: Odober 2015 <br /> z:\forms.�plan review checklist 10-2015.docx <br />