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<br /> ftc�tPress: ,� UC G !� - : Perm�t No.: ���`- ��Z/,
<br /> ��scription of work: Date Rec'd:
<br /> Septic revfew by: Date A{�proved: f �� � .
<br /> :Zoning review by: vL f�'L /K fr l�G �l�C� �
<br /> .?z ew
<br /> � Date Approved: ; �� `
<br /> : Build�ng review by:� : _ flat$Ap.proved� r Z �
<br /> � Grading review hy: , : Date.Approved: ":
<br /> Zortir��'D�strict: Zoning File#: Reso#: Reso.Date:
<br /> i Zoning;Lot;Area: � . F/AC 4liidth: ` . _ ` .�. Lot Cove��ge: : : ` SF . %
<br /> + : .
<br /> Survey.S�bmitted: t7 Yes 0 No Dat of Survey. ' � �Revised.da#�i�)•
<br /> �
<br /> L.andscape ptar� submitted? d Ye �No .�L; ndsc�aper:
<br /> � Pro seci Setbacks: � : : - . ,; „
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<br /> ` Front�Laice) ; Rear{Street) ( S E W ) ( iV' S :E; W. ) O�h�r Buildings`. Wetland
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<br /> � : -,Side . �.
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<br /> ; . Side: . � ,-:
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<br /> ' � �efir�ed Neig�t; Peak HBight - �F��: � ` f�E m�nus 8�eet �`� '______,_;�(�z�sf�ng Contou
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<br /> ' #��rimeter((inear feet)_ ' 0° _ �L F.betow,gratEe
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<br /> : �Baser�e►jt� .D�Yes .G No;: � • S�o es-
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<br /> " f OR A�{l14DIMG WITH Aa BAS�MENT�OR CR/1WL SP ��,` ,� ', "�01�A�Ult,bllV�QNA`�LAB�QC1N�A°TlOFi
<br /> ` ` di�ta�� , t�tq;lowest,plpf� k < * ��ab af�rra�'ve gFatle '
<br /> �fv+l, .
<br /> � STA1tT WI'i`H,� . ' flolr(of ih�basem t qr��aw)sPece�an ; f , rt�g xU►e�ra�,�ph�t�—xisE�°: '
<br /> ; tt�e higriest pbint o# ��Fot�# ra Eo i�e hi
<br /> 8 e 51'Af2T WI74i 9hest���ri��'�Iti�e,
<br /> !, - � _ -ko.o�eYEr�:�f�if�was�btaugt}t"In.fo
<br /> it If you have 8 etevate hotnA ;
<br /> 1 � , S1JB1'RA�TION • GABI�0 HIPI��O RQbF{ho L ' y SI���IOYi►9���$ -n`!�$$�5��v� :- '
<br /> �A��D QN . windows): ubt�ectJtia�thedjsbnce. �. -Ac�m hiqhe�texist�n9�9ra��bft#re .:
<br /> ; .`- ROOF^TYP�)- . �ketweera e highe`s�_Potrif of tlie aoof� h hegt " bf the rboi
<br /> � . -td the low �� ht of th�corr�sp�nding �� � If you ria��a , .
<br /> ��9a'bleor� i�ped rpof; � SfJBT�#iA�7`lON '' `�L���2NI�p�T��tbbF. ,
<br /> � .' ' . :: • . . : .• t";,46I:� R•HIP.R�b f�00F(�h � � � � �ASEO Oi�< Us��ist�nce be��btta�t'�atf.
<br /> windo :Subtract h�lf fMe�list8nce I�bp�'t�'N�� : ��'��� "
<br /> S " ' �9��int bf the�ofto ; ;
<br /> i betwee, th�top pt ifie high�sf° �*'� ''. b �h��r Pm�nt of�he
<br /> � wlndaW�nd theKi�[ghe�t,pc�FF1t pf the ,`
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<br /> roof .- r '"`` '�f,+ �s'` r�tlmg"g�bl8 or ;
<br /> � : tri�bf :�
<br /> = e • ALL O WER 1�'OOF TYP�S(fl�t, . {�kBLfi OF�HINPED RQC3F '
<br /> k `_ _ , rnansard.etc) Nosubttac6or�� t�ti;Vvi►'�cclonvs�:`SubNa�;
<br /> � , Si16TRACTION : Subt�act- dis.t�rice be�vve�n#lae. 17g1f the distariCe betu�r�n .
<br /> t _ � � - � - ; (B�Ep ON � baser�enUe�raw)spa�e floor and td�. .� ; : �. �� 1ha pop of the h�hest ,'
<br /> €XiSTING Mghest ezi Hng gr�de�ad�aceriMv#� ` �- winilo`w aiid�ie'Mt�Fi�st
<br /> GRADES) foundation DR 10 feet(wFiichever is:lessj. ' p01nt of'the r4of, ;
<br /> ' ` ..: ' . :� • ALL O�`tiER ROOF TYPES
<br /> � EQUALS . , Deflned ilding heigM . . S���d.e
<br /> tc):No''
<br /> � � De�in�d building hefpM
<br /> UALS ,
<br /> ; Updafed: October 2015
<br /> z:lformslplan review checkiist 10-2015.docx
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