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� _ _ 3 �����F �Y��"'��U`' �! L�S`a�lr��\.E'� �V'■8 �io4U. .� ! Y`�.��6��►iLF.1��.i � �i./�Vf�lV�l�� �� . <br /> AcSdress: �5 9 5 �Y�s/� C'i/t.C.Lc: Permit Ko.: 'Zd�y�-dt!¢;ZS <br /> Description of�rork: cr�C t�"�� �Lltt �L�c.Fc�c�a.R� Oate F2ec'd: � ~f�,--e S . <br /> Septic revievv by: _�` � �ate Approved:. <br /> ; Zcning'review b�+; N�� . . Qate Approveci: <br /> � Buildjng revieHr bY� Date ApProved:_I-��-^2.5"- �, - ' <br /> Gradfing revie�nr by: �� Date Apprcved; <br /> or�ing District: Zoning File#: Reso.#: lZeso Date; <br /> � Zo ing: Lot Area SF/AC Width: LotCoverage: 8F % <br /> ` Surve Submitted: f]Yes L7 No Date of Survey: : Revised date? : <br /> Pro as etbacks: . : <br /> ; _ <br /> Frant(.Lak Rear(Strestj (: � S E W ) ( N S E i'V ) Other B�#idin Wetiantl <br /> � Sitfe Side <br /> ; . , - _ , . . � . . - , <br /> ; '_ . ` <br /> � . Defined Fteight: Peak f�eight:=,� FFE:: FFE minus g fie = (��st�ng Contuu <br /> � Psrimeter linear feet = 50°k= <br /> � ) . b�tow_gratie #of Stories <br /> I <br /> : FOR R.BUl1.DIHG 1aVITH A BASEMENT OR__ WL SPACE: FOR A.$UiLDiNG O A 3LA��pi1NDAT10N: <br /> � The distance tvueen the lo�st proposed TheA(star�ce b¢tween�he iop of <br /> � ' .. START WITH � floor(of the bas ent orcreWl space�and .; �T11R'f WIT�F1 , slap�ntl.the t�igh�`st�siiintdi the <br /> � ���� � .��..� �- ;, � tthe hgh�est pWni ,, roof. �. . � �� � � � ecaof.� ' <br /> ; � If you have a... ; � �" ` `.. � ` ff�+ou have a'. . -'j. <br /> ` � � � • GABLE O.R k9IPP � ���OOF(no: � � • ��' �ABL£'OR-H1F?PEfl�fO.OF <br /> � windows): �ubtr8ct ha e disEance ' (�o���J St�bVect haif <br /> ( ' < nehnreentne i�lgnest pb)n tn�_roor .. ' ������Q <br /> re � , tM <br /> e dista <br /> � , � � � . � �_�lii�he�t.p0iht o� e: . fo�- <br /> ( , to the low�oiM of the corres ding the,low int <br /> SUBTRAGTION 9able a hip�roof ; � • � , � °��?� <br /> corrisspontlin�gable or :. <br /> , (Bi4SED�ON ' . GABLE OR Flli'.P�D ROOF(wlth= 5UBTRACTION hi�ped Toof <br /> :. YtOOFIYPf) windows): $ubtract�half�e�distance (�E�ON : .. . GAB�'E`01�EiipP���iQ�J�. <br /> ; . betvysen tne t�ip of tne higf�eat..: `- RQaF�'1rPE) � � twl�t,:tivindcws� aS�ib�ct <br /> � . roofpwaAdthe"highesi�pointof� � rialftAe�cllstanCe:betvl�en�� , <br /> _ ` #ie top`�o�:th&high�st',,, � <br /> • . ALL QTW�R ROO�fiYPE fl�t- -: �nndt�inr.$�id tFie fiigliest ::�� <br /> ; - �.. mansard.;etca:No sia, on. ' P��nt�bf:tl�e roof` <br /> � � ' SU T CT10N� �SubVact'fihe dista�t�be,� n��e . <br /> � AtC�O7HER}2�QF�YRFS , <br /> k spat� arsdthe .,-- ;"{�.mansSrd,�tcy No <br /> � 4�11�D 1)N �asement/crawl -3u�tr� 0 : <br /> � �X'IS71N6 'h�gAest exlsting grade djaceot to f}ie. . ADDITI(5N. Add tfi�tlist��ce b@�wee�the top , <br /> SB <br /> ' �� � GRitDES) foundaUon OR 90 (wF�iohever is less) <br /> , . . , r ; N b�slab an�fhe i h�st eidsH <br /> �S11S�D� f �y g � " <br /> t , ��� ��Qu �� �ned bUudin",e�ght. ��,� _ � 15��N� �; �' eda�e aaJacei�#o°�t��ourftlaatf�on: <br /> . <br /> G . - ,� .. � . � .� <br /> . . . , . �' , , � �� . .� ' � �7 ..., '�� _' : <br /> � , « ... .. . . . . .�. ., . , �. - <br /> � �+� A �osflnea ni�iarn9 hai�iit <br /> � , <br /> � Shoreiand DEstrict = 14iC1ND Perinit �Aver�ge 1:�k7ssht� ��ettxa ,..���#f. �' <br /> ' . � ' � Nfet?.- - ; -` <br /> �. eRnit Number: Q Yes � 1Vo - .D�N/R Yes'' 13 No . <br /> 4 0 Yes � No: - <br /> � �0 N/A-s�e attaahed� _ '- ;Set�aEk. =' <br /> � � Storr�v►+ater Quafity' Existing Hardcover Proposed ' , . <br /> ; Oveday Distrfct o - Hacdcover I/ariance Regulred CUP <br /> . Tier cifcle one (.�'o and s� , . , F�equir <br /> , /oands <br /> � ; � Yes G` No G Y�s` . C! No <br /> � 1 2 3 4 5 TYp�(S)� Type(sj: <br /> Updated: anuary 2015 <br /> z:lform lan review checklist 2015.docx <br />