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���C V ��4 L��� �l.:Y L L�tl�'l tl�al�� ��� ��� ������������ L ��HOE��V�h� <br /> kc�dress/P�rrv�iti t�urnber: � � ' � � ! L 1 . •l .'� ; C� �-� c. ' C- <br /> t�escription ofi�ork: �\���i_.�- �� �` t� <br /> �, � , <br /> Septic revieHr F��►: % �ate bpRroved: , �� "� t� <br /> Zoning revievm by: Date Approvec{: '- � <br /> Buiicfing review by: n Date Apprcved: 3 - ~-�;,_,_'�?, <br /> Gracling rev'sew lay: i��- Qa�te Approv�d: 3 � I <br /> Zoning Distfict: Zoning File#: Reso#: Reso Date: <br /> Zor��ng; Lot are�: ��/ � SF/AC l+�idth: �( Lct overage: ��"J SF��% �� <br /> 3urvey Submitfied: Yes � No Date�f�urvey:����7 Revised date ? : <br /> Rro osecf SetE�ack�: <br /> Front(L�ke) Re�r(Street) ( � & E 1�1i ) ( t� S E 1� 1 Qther B�ifcf�ngs Wet(and <br /> �id� Side <br /> f r <br /> Def�ned K�ight: '� Peak F{eight: '� FFE:G���FE r�inus�fee =���(Existing Contou <br /> �erimeter((inear fe�t)= , � 50°�= l,� #of Storie�� Ok7 YES <br /> FOR A BU.ILDIPEG V4�ITFi A BkSEMENT OR CRAIML SPACE: <br /> The distanee between the lowest FOR A BUiLbfNG ON A SLAS FOUI�lDATIOM: , <br /> ���� START WITH proposed�loor(of the basement or crawl <br /> space)and the highest point of the roof: START WITH The distance between fhe top of siab arn <br /> the highest pant of the roof. <br /> If you have a... If you have a:.. <br /> t n • GABLE OR HIPPED ROOF(no . GABLE OR HiPPED ROOF(no <br /> ty" windows): SuMract half the windows): Subtract fialfthe distan <br /> distance between the highest poiM <br /> of the roof to the low point of the between the highest point of the ro <br /> SUBTRACTION coResponding gab�e or hipped roofi SUBTRACTION to the lanr point of Yhe�rrespondii <br /> (BASED ON ROOF . �qgLE OR HIPPED ROOF(witfi (BASED ON � 9able or hipped roof <br /> GABLE OR HIPPED EtOOF:(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windowe): Subhact ha�fhe distan <br /> distance between the top of the befiveen the top of_the highest <br /> highest window and the highest window and the highest pomt of fh <br /> peinf of the roof roof <br /> • ALL OTHER ROOFTYPES(ffat, • ALL OTHER ROOF TYPES(flat, <br /> mansard etc:No subtraetion. : <br /> mansard,etc): ction. ADDITION �he top of slal <br /> Swbtract fhe di nce belwee he <br /> ` SUBTRACTIO �enU I space nd t d j de adjacent' <br /> /i (BASED ON EXN�N�(�� � <br /> . � GRADES) �ghest ebsti e adjacent to tfi I/� <br /> foundaUon OR 10 feet(which�ver is less). /�///t,, �/ � �— <br /> EQUALS Defined building height ( e�1�� � �f � i-- <br /> ����`J� <br /> . � <br /> Shorei�nd D.istrict fi�CWD Permit Receivec� � {f <br /> `�� i� Yes � No I7 NfA , Nc <br /> �7 Yes � No � ' <br /> �� Permit Number: � <br /> � <br /> �tarm�ratec Qu�fit�+ Exis�ir�g Pro�os�c! � <br /> Overla Di�tric�Tier Fiardcov�r Ha c v <br /> �"��I�', �, . � No <br /> ��� � <br /> , , <br /> Updated: January 2013 � � � - �— <br /> v�\forms�plan review checklist 2013.docx ��� .� -,-� _ -�-T � ' <br />