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, ���� �.��'�E�' �E�������� ��� �E� �T�E�GT�F�E� � �,E��t�°���� <br /> J�dcfres�/Permit t�un�eber: �. ► <br /> Description o#work: '` <br /> ; c,,��� `/� ...__. <br /> . Sepfic revieHr by: e3�lUYt�' Date Approved: <br /> Zoning r�vie�nr by: 1�,,���!'� D�te Approved: �' ��'�� <br /> Building review by: IN Date Approved: �' ��-E� <br /> Gr��ling review by: Date Appr�ved: '��� <br /> ' Zoning District: Zoning fi{e#: Re�o#: Resa Date: - <br /> Zoning: Lat Ar�a: - SF/AC t+�idth: Lot Coverage: SF'�`_% <br /> Survey SubmitEed: �Yes �o Date of Survey: Revisetl date(?): <br /> F�ro osed SEtbacksc <br /> � front(Lakej Rear(�treet) (` �" S' E, 1AE ) ( N S � t�! � 0ther BuEtciin�s 1Netland <br /> : , Sicle Sic4e � <br /> ; <br /> � . _ <br /> . Defined Height: Peak Helght: FFE: �FE minus 6 fest=_,�(Existing Contou� <br /> ; Perimeter(linear fe+et)_ . 58°k= #of Stories Ok? G YES <br /> fOR A BUILDIkG WITH A BASHMEI+IT OR�CRAWL SPACE: <br /> .; <br /> ; Tltedist8nce'4etweenRl��owest . FORABUIGDING;QN:�'-'�� ION: .� > ` <br /> STRRT WITH propoSeQ.floor(of the basement or crawl <br /> space)and thb highest point ot the roof. � nce bbNveen the top ot slab anC <br /> If you h�re a . ��h�,,, t poiM of the rooL <br /> • GABLE OR HIePED RbOF(no �•w� � e a..: <br /> ( � LE OR I�IPFED ROOF(no <br /> i � � � � w1�iilows): S�titraG h�lf,the ' � ���� �!!U��/ wvsj Sulstract half thetlistant <br /> � distance between the fiighest poiM; � �'�'"" een the highe�t point of ttie ro� <br /> � of the roof ta Yh�loinr pcirit ot the -� f� <br /> ; � SUBTRACTION ' car�e§poriding gable or hipped ioof. <br /> arr poiM of fifie cortespondin <br /> ofh�pped"roof <br /> � (BASED ON ROOF . �LE QR HIPPED ROOF(wi4h ` - E Qtt HIPP�D ROOF{wah <br /> TYPE) .: wi�dt�w's): Su6Vectfialf.the' - )• �ubtr�cth�Iff.Uiadfatanc <br /> 8i�a�ce beiween the top of the n f�e top of the hiph�t .: <br /> ': hi�hest win�ativ and the highest ; .. - ; w n w arJd t#ie high�st poirit of the <br /> : -- R¢int of�he roof : _ - rouf - � :- <br /> � . • AL�,OThfER•FfOi�F TYPES(fl�t, ' • AtI.,QTNER ft00F TYP�&{flat, <br /> ,. rt�nsard',�t�):.No Sub�raction. ADDIT�ON Atld:td��d'�YanCe Nds���slat <br /> Si1BTt?ACTIOM Sut>trac�the distanc�tietween;the �B,ASED ON , suul;the�iahest e�cisting�rade�adje�M t <br /> ; (BASED ON EaC�STING basemer#/cravul space lfoor ahtl�ttie ' - - �XISTlNG' the�uhdaUort. ", - <br /> � _GRADES) highest Axisting gratle adjaCent to ti�e ' G DES ., <br /> � foundatiqn OFt 10 feet(whtchever is I�ss� ` F.QUALS; Defi�necl bu Iding heiaht. <br /> .. . . . <br /> � QUALS ' Defin.. .buildfng heig : . .,. . . ,., ,. <br /> . , <br /> . r ,.: . <br /> ' ShQ and District MCWD P�rmit Re�eived � Av�rao e!a#cesh�r.e Setback Met2 � Sluf� <br /> 0 Yes � No pf N/A: � Ye� Mc <br /> Yes � No � Yes G No� N/A . <br /> ; Permit Number:� � ,. ' : , .�etback; - <br /> :,tR��i `" <br /> Stormwater Quaffty Existing Pr�posed Variance Required CUP Required <br /> � Over�a Distriat Tier - Kardcoder Ffarcicover <br /> •. .Q Yes No 6 Yes No . <br /> �'"" TYPe�s)� TYpe(s): <br /> ' Updated: January 2013 <br /> v:\forms�plan review checkiist 2013.doac <br />