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� E����� ��������� ���t����C��� ���c C���� ��ca����c��� � ��:������€�� <br /> Address/ PID/ Legal� ���'�- ���'~'���;,�i�j°� ��� �•,�;��, <br /> Description of work: ���.���� �� �� �-�tl�� <br /> _ �� ' `�.�� � j ` `� <br /> ��p�ic revie�v�t�y: Da�e�pp�o��ea:�, <br /> ��atir�� review!�ye � � �,,� ��te Ap�s�m�+�c�: �' �� <br /> �t�EEe�sc�g reviev�b�: ��... Date e4pproNec�: � ` �� ` � � <br /> �r�c�i�g� revee�r by: �� � � ��fie Ap��ao�ed:��f� � (�f <br /> �� <br /> Zoning File#: Resolution#: Resolution Date: <br /> ���Er� t3��tc@c$ �iee�e �r��er�t t�cs�4 C�fFice �cho�f �@��.r�ct <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: ���;�`�Fes � Ro Date of Survey:_ �i � ; �� c � <br /> Pro osed Setbacks: �� � <br /> Fronti(��ke) �€��ar j�treet� Q � � E � � (;, � S � !�' <br /> � �p�� ,_ 1 OfF��r B�ilcf`s�gs ��tlae�t� <br /> _ , _r:;:�� S��e <br /> '�1� �"��� � <br /> - � <br /> Building Defined Height: ���r Building Peak Height: �� #of Stories Ok.: E: <br /> FOR A BUILDIPEG 1N1TFi A B�SEtdlEM7 OR CRAWL SP�4CE: FOR R,BtJ(LDiNG Otd A SLAB FOUHDATIOf�: k <br /> START WITH the distance between the basement floor/crawl START the distance between the slab and the highe <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat rooi <br /> the cornice of a flat roof,the deck line 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-tyE <br /> or other arch- e roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest windo� <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT the distance between the basement flooN crawl ADD the ciistance between the slab and the 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: SF % <br /> �ho����e�c� '�trEc' ���c�t3 E�er�zE�:f��ceivec� �,ver� e ��kesf�oce-�ef�ack �tu4'� <br /> �, �, ' '`,��.�Yes � �o [� N/A u � � Yes E� Ro <br /> � Yes �,� .� � Yes � No � t��/A <br /> !,� 'Permit Number. `��� Sefback: <br /> f�acc�c�Ne��o�e� Ex�s�.i� �ro osed �arEartce Re uired CU� �e �ire� <br /> 0-75 � Yes � iVo � Yes E� No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> < <br /> ( ) ��� s�<.J��� �� � 1� ��J'�'�%'�`� � ``" � ` <br /> RE(�ARKS in-house ;� �t�� � �. �;� ��.,� �rs'u/ �� i���,�,,,�{���`�� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />