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G`'��,� �������� �j^��t�������� ��'� ����� �� �������� � ��i,�������c� <br /> l�ddr�asfPert�it W�mb�r: � �o f� 56'1��� �� <br /> �escc6ptio�e of work: <br /> Sep�ic re�i��nr b�: _ �iQ '(�! �at�eRpQ�roeed: <br /> Zo�ing review b�: ' '�' Date�,pp�ove�: �'� • �� <br /> � <br /> Buifc�eng re�riew�6y; r �ate�pprovea�: "7'�Z� "�i`°'� <br /> GE'A�Q1S� P�bi@1W�l�: ��t@ t��1�ff'OV@(�:__ (4'� � <br /> �on@r�g D"a�tr6cf:_ m�� Zor�ie�� (�il��: Re�c�: Re�o D�te: <br /> ZO[�@�9g: �ot�Ce�: SF/AC ���tf�: L�t Codet��e: SF I�% <br /> Su�vv�y Submii�eeE� �Yes � �to Dat�o�S�e�ey: �• �•�� Revised date(�1� <br /> Pr� osed Sett�acks: <br /> l�ront(Lake) Rear(Stree�� ( �{ ��� � � ( �" gi�� � ) Ogher BuEtc66reg� �e�land <br /> �6 <br /> 6��' • � <br /> k .• 0 '. <br /> Definec9 Hei�qht: Pea[x F@eight: �FE: FFE rr�inus�feeg= (Exist6n� Co�touE <br /> R�eriee�eter(lie�ear fiee�j= ��%_ #c�f:'sta�fes Qk� �YES , <br /> FOR A BUILDIPC WftHA BASEAfiEWT OR CRA4qIL SPACE: <br /> The distance between tlie lowest FOR A BdiLDl�G Ok A SLIOB FOURDkTION: <br /> START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. STqRT WITH rne distance beNveen the top ef slab and <br /> If you have a... the highest poirtt of the roof. <br /> � GABLE OR HJ?PED ROOF(no If you have a... <br /> windows)• Subtrad haif the • GABLE OR WIPPED ROOF(no <br /> dista tween the highest point windows)' Subtract Malfthe distanc <br /> of roof to the low point of the between the highest point of the roc <br /> P��f to the low poiM o eorrespondin� <br /> SUBTRACTION Responding gable or hi SUSTRACTION gable ot hi roof <br /> TMpEED ON ROOF GqgLE OR HIPPED ROOF(with (BASED ON . GAB HIPPED ROOF(with <br /> 7 windowsj: Subtract half the ROOF TYPE) ows)� Subtract half the distanc <br /> distance beNveen the top of the tween the top of the.highest <br /> highest window and the hfghest window and the highest paM of the <br /> point of the roof roof <br /> • ALL OTHER RO.OF TYPES(flat, o ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction m8nsard,etc;No subt[action. <br /> � Add the distance between the top of siab <br /> Subtract the distance between the g, ng grade adjacent tc <br /> TRACTION ( D ON ar�d the hi hest exisU <br /> BASED ON EXISTING basemenUetawi space floor and the ISTING the foundaUon. � <br /> GRADES) highest existing grade adjacerrt to the GRADES <br /> fountiation OR 10 feet(whichever is less). EQUALS Defined building height' <br /> EQUALS Defined buiiding heigM <br /> Shoeelae�cE D�steic� ' C�Cf��Q PecrnBt Re�e�v�d �veea e L$keshore S��b�ck�Sie�? ��uf� <br /> � Yes � No � N/A � Yes No <br /> Yes � No � Yes � No �t�/A <br /> Permit t�umber: Setbac�C: <br /> Starerevva��r f�u�Ei� Ex@���ea� ��p�$�d Qe�reartiee ��quie�� CfJP l�ec���red <br /> Qv�rl� �'s�tc�ct Tiec li��ic�der H��°dcov�r <br /> � �(r�� ��,���j� � Yes o � Yes I�o <br /> ��� S� �����5� TYP�(S)� Type(s): <br /> Updated: January 2013 <br /> v�\forms�plan review checklist 2013.docx <br />