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� E.���`��ti �,��'���.��,f ��i������� �"�� G���.F c���������� � �.�'���'���� <br /> �c�c�ress/�err�sit Rurv�bec�: ��7� ����� u-°T <br /> ' De�criptior�of�oe[�: �l���e/ �� <br /> Se�tic r��riew by: �ate�,pprovec�: <br /> ZoningredieHrby: �d€t� Qate�4p�proved: •� ` �-j� ��' <br /> __ _ @�aildir�g ee�ievr b�+: Dafe�tpproved: Z• � �l <br /> �rading reeiev✓h�: �r�< _ -- Date�.pprodec�: /3 / �L ' �i � <br /> �+�� � � <br /> Zartir�g Distric�: Zonir�� Fi6e#�: Reso#: Reso t�ate:_L-,�� <br /> ,::� <br /> zo�,��g: zot�fe�: �.�ti�'�' ��AC l��''6c��h: LQt Covera�e: ��°� �C,��f- SF ��io <br /> Survey Subrnitte�: /,,C'(Yes !� No Dat� of 3urvey: � �- �-'4�� r.,� Revised date(?l: -�' ,�'A� <br /> Pr� c�ec�.�etbacks: � � '"'� " � <br /> . .r�,..� � . � . <br /> �ront(l.a�Cej ,�'E�eai��tr�et3 ( x� E V� ? f � �• E � ) Othee�ui�cEir�g� tf�eYtar�c� <br /> '�''' S�t�� �id� <br /> t;�� � i � ' , <br /> .� . �,;� <br /> /16,- , ��. * /,,�� J <br /> ��f�reed F6eig[�t: ��° �,a,� �eak�ei�h�: �'� FFE: �'`T`'�� 1 FFE m�nus 6 feet= �� �� (ExtstEng Cant�ui <br /> E�erirneter(lineac feet)= 5�%_< #of Stoeies�Qk? YES <br /> ��•- �`�;:�°�:.�-�' � <br /> �OR A BUILDII�G VY��IITk P�BASEIViENT OR CRkYdL SPACE: <br /> The distance between the lowest FOR!�BUILQit4G ON�Stl�B FOUNDATfON: <br /> � � START WITH proposed floor(of the basement or crawl <br /> .-_o';f; space)and the highest point of the roof. The distance between the top of slab anc <br /> START WITH me highest point of the roof. ` <br /> lf you have a... Ii you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> �� /:�' windows): SubVac�half the windows): Subtract half fMe distanc <br /> .1 s' distance between the highest poiM between the highest point of the ro� <br /> /" of the roof to the low point of the <br /> : SUBTRACTION coResponding gatile or hipped roof SUBTRAC710N to the low point of the cortespendin <br /> gable or hipped roof <br /> (BASED ON ROOF . GqgLE OR HIPPED ROOF(with (BAS�D ON � GABIE OR HiPPED ROOF(with <br /> �' ' .°'' TYPE) windows): SUbUact haN the ROOF TYPE) windows): SubUact hatf the distan< <br /> .i r �,;,,j distance between the top of the between the top of the hiphest <br /> highest window and the highest window and the higMest point of the <br /> point of the roof roof <br /> • ALl OTHER ROOF TYPES(flat, o ALL OTHER ROOF TYPES(flat, <br /> /��� mansard etc:No sabtradion: <br /> mansard,etc):No subtraction. AODITION Add the distance between the top of slab <br /> � SUBTftACT10N � � Subtraa the distance between the (&RSED UN and the hi hest existin <br /> ��; � " (BASED ON EXISTING basemenUcrawl s ace floor and the 9 g grade'adJacent t <br /> P EXISTING the foundation. <br /> �G"'�� GRADES) < highest existing grade adjacent to the GRAbES <br /> !}��� , r ����� foundation OR 1 O feet{whichever is less). EQUALS Deflneti build8�height <br /> � ,; ; . EQUA�S . Deflned build(ng height <br /> _ � �9��;, <br /> Shareaanc� Q@s�ract [t�Cl►�'E�Permit Rece��vec� Avera ¢ lakesho�e S�tback 14►iet? �tu4f <br /> � Yes � I�o � �!/A .� 0 Yes Nc <br /> �Yes �I No ` O Yes � No �N/A <br /> Permit i�umber. i�- � Setback: <br /> Storrnwrater(�ualEfy Existin� F�roposed �/ariance Re��a6rec� Ct�F f�eguir�ct <br /> OverEa f3ist�ict Ti�r FE�rc€cover �arcicover <br /> �� Z?�,f�� ,_� � Yes o ❑ Yes o <br /> :-,"�`:� <br /> Type(s): Type(s): <br /> .�.� , ,, � e <br /> Updated: January 2013 '3 �r 3 i � i; '`: +���; i��� ;•;.� �'♦ s— ;r�`' " 4 , � • <br /> v:\forms\plan review checklist 2013.docx �A�7� , --, <br /> ���� �� <br />