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E�'E�:� [���fi��.��f ���.���[��� �`�r� ��:�� ���s���;���� � �.����cc�c�� <br /> Address'/PID/ LegaL ti��, � ���1- � � • <br /> � <br /> Description of work: �� ��� : <br /> Se�tic-review by: �l� Dafe Approved: <br /> Zoning revieHr by: �� �� a� Date Appraved: �"�� �f� <br /> Buiid�ng reuiew b�r: Qate Approvect: <br /> GeacEinc� review by: /��� � �ate�►ppr���d: �/i � <br /> Zoning File#: Resolu#ion#: "'— F�esolution Da#e: <br /> Zortin Qi�tric� Fire De �rfim�nt F���Office ScE�ool Bistrict <br /> Zoning: LotArea: �"2a�-� b��,AC Wid#h: Depth: <br /> Survey Submitted: �es � No Date of Survey: � ��' �( Z-- <br /> Pro osed Setbacks: <br /> �ro (Lake) �.]" (�treet� E '��' � E �' ) ( � (��� E �' ) Other B�iEcE�ngs l�letlar�cl <br /> Side `3Ec�� <br /> �' � . � `. .�r �� <br /> � Building Defined Height:_ i��_ Building Peak Height: �� � #of 8tories Ok?: � YE: <br /> �OR A BUILDINC 1K{TH A BASEAA�ENT OR CRAWL SPACE: FOR�4 BUlLDII�G ON A SLAB fOUt�DAT10N: <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 pe ,the top of WITH roof peak,the top of the cornice o#a flat roo <br /> the comice of a flat roof,the d ine of a the dec�c iine of a mans of,or the <br /> mansard roof,or the uppe as#point on a round uppermost point r round or otMer arch-ty�, <br /> or ofher argh-t e roo.�' roof <br /> SUB7RACT half the distance�etween the highest window a�d SUBTRACT half.the�distance between the highest windo <br /> hi hest roofi ak of a itched roof a �ii hest roof eak of a itched roof <br /> SUBTRACT the distan,sae�between the basement floor!crawl ADD he distance between the slab and t1�e highe <br /> , space or and the highesf existing grade within. existin rade within the foundatiofi <br /> the undation or 10 feet,whichever is iess. EQUALS Defined buildin hei ht <br /> - EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shmreiand District FdI t�D Fer�st ReceivecE Avera e LakeshQre Setback Blui# <br /> Yes � �!o � N/A a Yes Nc <br /> es Q I�o � Yes L7 No N/A <br /> ,,� Permit Number: �—�� � � 9e#back: <br /> f�ardcover Zones Exi�tin Pro osed Variance Re u�irec� CUP Re u�red <br /> 0-75' � Yes No ' � Yes No <br /> 75-250' TYPe�S)� TYP��S)� <br /> 250-500' t� 1� ����' L <br /> 500-100Q' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z�lforms�pfan review checklist.doac <br />