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� , ����! 6������ ��������� ��� ���� �����v����c� � ��������� <br /> A�d€res�/Perrnit Plumber: <br /> C��'�`�S �.. �1'�-� �'� �r . <br /> De�cription of work: � �f� � 0�!� <br /> Sep�ic revievr by: Date Approved---- '� '� �'� <br /> ; . <br /> . Zor�ing review by: �° Date Approved:' p 'Z.f,�' `� <br /> ; ' Buitding review by: Date Approveci; - � 1 <br /> Grading review by: �'.�i Date Appcoved:. $2 /�' <br /> �, F9 <br /> i Zon�n�Djstrict: �` `� Za�ning F[le#: .� Reso#:� '� Reso Date� • '. �� <br /> � Zoning: Lot Area: SF/AC 1�idth: Lof Cover�ge: SF �,_%o <br /> Survey Submitted: �es L7 No Date of Survey: �'�� '�.� Revised date(�)� <br /> Pro osec9 SetbacEcs: <br /> Front(E�ake) Rear{Street) ( � . S E YV ? ( N S E W )' Other Buiidings > 1Nettanc� <br /> ' Side :SicEe <br /> , <br /> � ; <br /> � <br /> DeftRed Height: �°'� a�� � P�ak Ftefght: �'":�-�" FFE:��� FFE minus 6 feet=,Q�A, {Ex�t�ng,Cor�tou <br /> Ferimet�r(i�n�ar feet)_ '"'ti 5Q%_ #of Stories�Ok� �Y�S • <br /> �,J.I 7 ��I'f � 1.,'F'�'•�.R •�I�nw" . <br /> FQR A BUILDING WiTH A BASEMENT OR CRAWL S�ALE: • <br /> � 1�e distance betw�en the lowest FOR A B[i{LI�ING ON A Si.AB FQUNDATIOP[: <br /> i START WITH proposed floor(of tfie basement or cra�M � � <br /> �".x <br /> space)and the higheSt point of tfie roof. <br /> STAR7 WITH TFie diat�iiee tietMv@en the top of slab arn <br /> If yau have a... the k�i�he�t,P�rit of the rooi. . <br /> • GABLE OR HiPPEU ROOF(no ff you k�ave a.:. <br /> wfndows): S�tidract haifthe • �4BL�OR kJIPP�D ROU�(no < <br /> distanse betwreen th�highest poitrt windowsj Sy�btrack fialf ihe distan� <br /> of the:roof to tHe bW point ot the beM!e�rt ihe h�gh�sf pQ�.i�of:the ro <br /> ; � { 3UBTRAGTION corresponding g�bfe o�hipped roof ��I?w P�1M���c�ar�por�dir <br /> �:..� SUBTRACTION ga�le othipped;roof <br /> �i (B�4�D ON RC)QF ._ GABLE�R HIPP�A RO,pF{wtth ; (6ASED ON •. �A��.�;O�t t11FP�D R��F 1v�ifh <br /> windows): Sutitiact hait the ROOF TYPE) winijows) SubVaFt fiali�distarn <br /> distance between the top af tlie be4ween��top of ftiA�ifgl�t. ., <br /> highest wirSdowand the highest wl�dow ai�d the hfgheStP�rtt o�tltt <br /> point cf the roof . •� . <br /> � rooi ��;'. <br /> ' _ , �ALL OTMEf�RaOF 7YPES(Aat, � ' • ;ALL C17tiER ROOF`7YP�$;1�lat., <br /> ` mancard.etc):No subtraction. rnan etc:No:su . : <br /> - � � .Subtraict tiia dis#ance between the AD[fIT10N d e�iistdnce ts�twee�tlie Qo�of&Is� <br /> SUBTRAC�lON EBASED ON and the fi(ghest exisdAp"gr�iid��ljaoent t <br /> �'�'�""`� �-���'� (BA3ED ON EXISTING ��e^tr�wl space floor aniJ fhe <br /> hi hest epsti �ST�N� the foundation. <br /> 9 �9 9rad�ad' ;�RADE.S <br /> � � ,,s��- GRAbES) J�ceM to tl�e . <br /> x `�s � � � foundation bR�g teet�ichever is less) �� EQUACS De�ned hu d�in9�!e ght - <br /> ( <br /> � 4�'= , , <br /> f• ��j �'°. 'EQUALS Defined 6uil�iin fiel t <br /> 'p'""Cq� <br /> . ShorelartcE D�st�ict C1l9►i3#�ermit Receiv�d l4vera e Lakeshore Setback Met? . Bluf# <br /> • Yes D No �' N/A . D Yes o <br /> Yes G No L7 Yes �G No p WA <br /> Permit Number. - ! 1�eC ��/� .,�. � ,=� ;�,� Satback: <br /> :Stonnrnaa��r C�caali� �x����eeg E�roposed , <br /> Overl� aistrict Tier Harcicov�r �t�rdcover �✓ariance Etequired CUP l�es�uirecE: <br /> .�� ����� O Ye& No Q Yes No <br /> � ,� ;, /..,,� TYpe(S)� TYPe(S): <br /> Updated: January 2013 .. ,.�. , " <br /> v�\formslplan review checkflst 2013.docx 1�„���,,'� . <br />