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�E.r�F�i �����CC �f'[���E"�C�L�� ��A� L��C�' �����J'��61��� � ���� C ��LC� <br /> Rdc9re�s/Pecrr4it f�urr�b�r: � ��� k+ t� ��� �-� �'i <br /> t�escripfiiae� �6�rork: ��� � � � <br /> Septic review by: Dat�I��proved: <br /> Zonin$ r�vieHr by: [ Qate�pprcved: -� •� <br /> Buifcfing rev�ernr by: Date Rpprcved:_�� � <br /> Gracfir�g review�y: .�.�•�r Qate Appraved: � <br /> Zoning Qi�trtcf: Zor�ing FEIe�R: Re�o#: Reso Date: <br /> �oning: Lof�.rea ��,:,�.� r SF AC �idth: �Q�Cov�r�g�: SF % <br /> �urvey Submitteci: �es Q No Date Qf Survey '�' °; ' �,�:- Revised datQ(?)� ✓-p� '���-f � <br /> 0 D��-�- <br /> Rra osed S�fibacks: <br /> Frar�t� R�ar( eet) (� S E �' j � � g 4 � � ) Other Buifdings 1�l��tand <br /> . , . . , <br /> Sict� �de <br /> ,�7..-, ._ . � �. <br /> � '�' � �% � ' �`.:� � � �' � � � � <br /> , .. � � <br /> E�effr�e� Height: '�`'�;�:� Peak Heig#�t:� FFE:`��� `FFE minu�6 fe�t= ���'���.tT (Exi�t�c�g Conto� <br /> PerEmeter(li�ear��et)_ �0%_ #of Sfior@es�Qk?�E� <br /> �,� ,��� � - . . <br /> FQR A BUILDINC WITii A BASEMEPlT OR CRAWL 3PACE: -� �� � '� " � ' , <br /> The distance between the iowesf FQR p BUILQiI�G O[�t A SLAB FOUNDATiON: <br /> '�,;� START WITH proposed floor(of the basement orcrawl <br /> � space)and the highest point of the roof. The distanCe between the Mp of slab ar <br /> START WITH �e hi he&t <br /> If you have a... g point of the roof. <br /> • GABLE OR HiPPED ROOF(no If You have a... <br /> • GABLf OR HIPPED ROOF(no <br /> windows); Subtract haH the windows): SuDVact haif the distar <br /> dist8nee between the hiphest poiM <br /> between the highest poiM of the n <br /> of the roef to the low point of the : <br /> po g gable or hipped roof to the low point of the eorrespondi <br /> :�'' SUBTRACTION corres ndfn SUBTRACTION ipped roof <br /> , J pable or h'PPed <br /> r,�,• (BASED,ON ROOF . GqgLE.OR WIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROO.F(with <br /> TYPE) wintlows); Sutitract half the ROOF TYPE) windows): SubVact ha�the distar <br /> distance between tha top of the between the top of the hiphest <br /> highest window and the highest window and the fiighes.t poinYof th <br /> point of the roof roof ' <br /> � ALL OTHER ROOF TYPES(flat, • AlL OTHER ROOF TXPES(flat, <br /> mansard,etc):No subtraction. mansard etc:No SubVadion. <br /> ADDtTION Add the dia nce between the top of sla <br /> SUBTRACTION Subtract the distance beN+een the (BASED ON and the hi hest e�dstin <br /> � �� � � basemenUcrewl space floor and the FJCISTING• the founda�on. g g�de adjacent <br /> '�- � os=x"' (BASED ON EXISTING <br /> �!� ! highest e�tisting grade adjacent to the GRApES <br /> GRADES) <br /> F�{y �.� fiou�dation OR 10 feet(whichever is less). EqUI�I.S nefinetl buliding heig#rt <br /> �,-�"� � �, t, EElUAL3 Defined buflding heigME <br /> ���` <br /> r <br /> Sf�orelar4d 11i�trict Rfi lAl�Perrr�it Rec�iveci Avera e E�akesho�e Se#back Nlet? �taff <br /> es _ � No 0 N/A : 0 Yes � <br /> �es � No � Yes t7 No �A <br /> Permit Number. ��-�, Setback: <br /> �toret�v��f�r Q�aEit� �x�sfir�g �raposec� yariaRce Req�ir�� CUP RequirecE <br /> Overi� E3€st�ict Tier Eiardcov�r �ia�rdcover <br /> � � Yes t�o C� Yes o <br /> f �,_ _ w �v'����{`,c <br /> C� <br /> . . �• � Type(s): Type(S): <br /> � � � � r -�,.� � <br /> , <br /> Updated: January 2013 .` ` � <br /> v:\forms�plan review checklist 2013.docx , _ _ ._ <br /> Y, . J� , �J •'` , . ` �,C�-''a., <br />