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- ��'���� E�;������ ��������� ��� ���� ��c°�€���€��� �' �;c�c�������� <br /> Address/PtD/LegaL ��� � ��(� ���{�� <br /> Description of work: �7� �/�(���'������ <br /> �ep�ic ceview by: � .� 6�7'' D�te Ap�roveci: �-� a '' i� <br /> q � � <br /> ZartiRg re�view tay: �"4�� 4�,c f r.�s x xt°``_ date l�pproved:_ ,��. � :'; . '� <br /> 'r.'.•. t .s.�';= <br /> k �� <br /> Buitc�ing review b�+; �J Date AR�rovec�: � !Z_ <br /> Grading review by: �+�' Date Approveci: ��o � <br /> Zoning File#: Resolution#: �/.L Resolution Date: /�� <br /> Z�nin Qi�trict Fire D� artrnent Post Qifiice School D�stricti <br /> ; ��- � <br /> Zoning: Lot Area: p�0 SF/AC Width:_,�,'—(Z� Depth:_ /�t <br /> Survey Submitted: �es � No Date of Swnrey: � <br /> Pro osed Setbacks: <br /> Fro�t� Rear(�treet� (/'�S E 1�► j ( FJ �S �E l� ) p��}�er Builc��ngs �l1+'ettand <br /> �' � r�va,i� �4 � SicFe `'Sicie <br /> �`�16D � � � � ra.Q jo,� �. � <br /> -z�• ��- _ <br /> Building Defined Height:. ��i��� Building Peak Height: ������ #of S#orie . YE� <br /> FOR A Bi11LDl{�G MIITH A BASEf�EI�T OR CRb1�liL SPACE: FOR A BUILDING ON A SLAB FOUNDATfOW; �� <br /> START WITH the distance between the basement flooN 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 comic�of a flat roof <br /> the cornice of a flat roof,the deck line of a the deck line ofa mar�sard roof,or the <br /> mansard roof,or the uppermost point on a rownd uppermost point on a round or other arch-tyK <br /> or other arch- e roof - roof - <br /> SUBTRACT half the distanc:e between#he highesf 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 /> SUBTRAET the distance betweerrthe basement floor/crawl AdD 'the dis#ance between t#�e slab and tF�e highe <br /> space floor and the highest existing grade wi#hin existin rade within the foundation <br /> the:foundation or 10#eet,whichever is less. EQUALS `Defined buildin hei h# - <br /> EQUALS Defined buitdin, hei ht <br /> Lot Caverage: f��Q�c�csr,�_SF �v��'7 °lo <br /> ShoreEargcE District RIiCt�D Aermi�Received Avera e Lakeshore S�tback. Bluff <br /> 1] Yes O No � N/A � Yes No <br /> `�Yes � No I] Yes _ C� No �N/A <br /> Permit Number: Setback: <br /> l�ardcaver Zones Existin Pro osed 1��ciance Re uired CllP Re uired <br /> :0-75' � Yes � t�o 0 Yes � No <br /> 75-250' Type(s}: Type(S)� <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): �P � �f� ���i�'� �lc��/.� ,g-�a��� <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />