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(,��.��.�� C�.i���f��.��� ��E����C�E(��il �-���; �������� ���E�[�t��:E:1'��:� � �,.����[��� <br /> �,cFc�rc�s: �`�'� ���'�,� 6'�J e Perer�B�f�o.: �1v�'� <br /> � � <br /> [��scri�tea�Qf��r�:: '� '�'� � �'��������� ��� �ste R�c'd: ���� ��' <br /> S�ptic r��te��y: ,�`��t��� �' �� Date���roNec�: � <br /> �enin�� revi��t�y: �ate�provecE: <br /> �6.IEIC�IE'R� P@\°i@�b}r. �ate�}�pro�e�: Z <br /> Gradir�� rewEev+�bZ�: �at�/�,ppr�vecE: <br /> �ae�@r�g E�istrict: �-i� � ��� Zor�ie�g File�: �eso#�: Re���a4e: <br /> Zonin�: Lot�4.rea: SF/AC �'it�th: t o#Cov�ra��: SF % <br /> S�s�+�l��u��i��ed:���E� Yes � f�o �at�af�c�rve�: Revised date(?): <br /> �ra��o�ecb �etbacks: ,:f: � , • ; �'4� ' � ' ,"� , <br /> � c�� �3 <br /> l�rc�"'(La[�e� R�r(�treet�a � �` � � � 1 f � � � �' � Ot�er�uitc�ings �etfar�cE <br /> � - �i�� �Ec�e <br /> .�-- ��.� � �----- - ��.�( ` <br /> ��fE�ec6 F��i�hS,: P�ak �Geig�ht: FF�: F�E�ir�us 6�ee�= (Exi�tiir�g Conto� <br /> P�Ptt'Ytit:�i�P(�6RB�i'��Lj= �Q%= �.F. E�eta��ra�ei� �afi S�or@es <br /> �QFd 6:QUILDYivG!{t/t�H�,B�.SEEdi�f�T OR Ci�eAl4ii'L SPf�CE: FOR A��tt��li�G OR'A SLA�FOUE�DA�'EQP�: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> the highestpoint of the roof. roof. <br /> If you have a... : If you have a... <br /> o GABLE OR HIPPED ROOF <br /> � GABLE OR HIPPED ROOF(no (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the <br /> between the highest point of the roof highest pofnt of the roof to <br /> ta�ttie low poiM of the corresponding <br /> SUBTRACTION gabie or hipped roof the low point of the <br /> (BASED ON , � GABLE OR HIPPED ROOF(with SUBTRACTION horresponding gable or <br /> ROOF TYPE . pped roof <br /> ) windows): SubVact half the distance (BASED ON � GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat . window and the highest <br /> mansard,etc):No subtraction. point of.the roof <br /> � ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the Subtraction. <br /> EXISTING highest existing grade adjacent to the ' AqDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). {BASED ON of slab and the highest existing <br /> E(2UAlS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined buildirtg height <br /> 5BtoreEancE�€strict p���,,,rp����y�t �derage Lak�shore Set��ct: �'�� <br /> R�et? <br /> �Yes � �o Permit fVumber: Yes � No � N/A � Yes � f�o <br /> CS N/A—see attached Setback: <br /> Sfiormv�atE�f�ualify 4�ro�ses�eci <br /> Qverla �i�irict �xE�t€n�(�ardco�ec ,, <br /> y (%and sfl �y�rc�cov�r Variar�c�E:equirec! CtJ6�Req�ired <br /> '�ier circle one %and s <br /> . , � Yes � No C� Yes � R�o <br /> � 1 j 2 3 4 5 Type(s): Type(s): <br /> ,� <br /> Updated: January 2015 <br /> z:\fortnslplan review checklist 2015.docx <br />