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<br /> � � R PlL/�N RE�/1EIIV �H�CK�I��' FOR fVEVN Sl'RU�TUt��� ��l4DDi1'ION� ,
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<br /> �6ddr�ssiPerr�it Number: �I�7� ������ �'��' ��116� °
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<br /> � Descri.�tion af wor�: �e��.��,��, ���J�a�.. =
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<br /> I � � �eptic�v�ev�by: � 1��!1� _' D�tte Approved:,
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<br /> � . . � ,,. . ;. ��� >���,�
<br /> Zoning review:by� ...,� �D `�� ;, Date Appr,aved� � . -' ;
<br /> Building review by: Date Approved; �= �>'���:�'{
<br /> Grading,r�view by: �i�'` Date i�pproved:
<br /> � �
<br /> ., or�i�g Dis#rict: . ' Zorting�'ile#. 1ie$o#s Reso Da�c:
<br /> �' Zon : Lot 11r�a:: SF/AC VYidth.� . �ot,Coverage, SF °fo
<br /> �. ;_ ,
<br /> �, �: �urs+ey utimittec�: U Yes � < � No� � Dafe ofSu�vrey: -�� � Revised d #e , �
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<br /> Pro t�Cl� #ba�lts: �, � � . � ;�; �:. �` �� �
<br /> �. _ _ . _
<br /> �'� ' Front(Lak R�ar�S�re�t) ; ( N 5 E W }. ( N S E W ) Oth�r Bull gs ,a Wetland
<br /> �
<br /> Side Side ,' :
<br /> I; . _ : , ;. _
<br /> Qe�fnecy'Hei�hf: '' Peak Hei�rit:�. ��E;: ` FFL minu fset= {Ezl�tiriQ Cantour)'
<br /> Perimeter(li�ear fft�t)= 50"10= #of S�b�i - Ott? 0 YE�
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<br /> f .; ,�. �n;, , .
<br /> h' FOR A BIIIT,.DiNG WITH p B/1SEM�N't O RAWL SPACE. °
<br /> �
<br /> ,
<br /> � A. ; The distanc:� tween the lcwest': � * F'OR/! ILDING OCC11 A 3LAB"FOUNnA1"ION;f
<br /> STRRTVVi9'H proposed�tioor th�^ti4semetit�ircrawl� � � � �� �� �- � '
<br /> s¢aCe}antl 4tie h �t:�it�t of 4fie roof: ' ' TMe distan�between the 1oP of slab and
<br /> S`fAft'I"WIl`H q�highest pairt ef the rcof. :�
<br /> a+�
<br /> Ifi you havo a... ` ' If You h�ve a.... `
<br /> • GAB}�E,C)R MI.. (>Of.(�c ', ' . 'GABIE OR-HIPPE�D t200F(itp
<br /> a+indowrs)a Sub�act tlte windows):. 9Ubtract half the dtsiance`,
<br /> ��< dfstan�8;beiween,�he h t pqint '� be�ween tlte high�t 1�o�nt o1`�tl�rc4f�i
<br /> � � ,of the raot to the 1oVv,poiCd ths tq the low,pioint oi the t�rre.g�ndirtg
<br /> ; _..�, � � � -� � -
<br /> SUBTRAC7tON ; corrg&p�ndfftg gatile or hip' f _' SUBTRA�?lON '` gabie or hi
<br /> (QA��D f71d;RE�F :', � ' 'GABL.E OR HIPP��ROOF(wifh c( SEQ ON . �roof
<br /> : ' � GRBLE OR,tifPPEO ROOF(Wlifi` ��
<br /> �'� - wirtdows�: Subtret�iaalf Uie`., ` ROOF TYP� wintlows): Subtract f�alf.the disEanGe'.
<br /> distance.betvreen-�e top W3h �?@tween the toP of tha higheat°' ,
<br /> , ,'„ � highesC v�l4dqw and the'high - wfndow and�ta highest pWnE of�e ''
<br /> �. ` ,'
<br /> point vf the raof r�f :
<br /> ; ; � - ' , ALL QTH�R RQOF'�Yfs�(ABf,�f F'
<br /> � , , - ;
<br /> ALt OTNER RQOF .,� S(�at, � Inanserti�8tc:.No Subtrdt�ion. ' ;
<br /> ` " : rtaans�r�i et��,No�s�`� cEion. '
<br /> : Ap�l'1'IOi�: � Add the:dlstance t�atween the top of slap
<br /> - StIBTRACTiRPI u b t[a C t the dis t a nce U t e (BASED ON and the hi9h�t ax�tl�8 9rac!@�d1�Ceritfs�:;
<br /> (BASED Oid'EXISTING besement/aawl spa r and the . ' EXISTihIG #1e foundatlan. -
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<br /> CRADES) high�existing �, �ad��CQnt to ft+e GRADES � � � �
<br /> foundation 0121 (Whtchever is tess)• EQIIALS ' 06flned buliding heigiit
<br /> � EQU/1F,S �" � Deflned•�uil g helght � �r �� � ��� �� � ���
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<br /> hoceland Distr�ct M��P�erm@t R+�iv�tB Avera e�.ai�eshore S ck M��? �lufF
<br /> � -, �� ' � �t] Yes�� C6�hlo� �� ❑ N��4 �� �� _ � �. I�,Yes � � Cg,No �.
<br /> � G� Yes 'G No� � � �� � G Yes � No i3 !A � �-� ��
<br /> .Petmif Number: Setback:
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<br /> � ° Stormvvater lity �cistiti� firopos�l � Variancs Fi�uirsd �'` CLlF R u$red
<br /> C OveMa DBs ct Tier Hardcover Hardcnver :
<br /> � , � Yes �,Mo ` 15 Ye�: �1 No�
<br /> i �Yp��)� - TYPe(s)�
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<br /> � ''Upd�ted: January 2013
<br /> � v:lforms\Plan reyiew clapckitst 2Q13.doc�c ' -. , . , , ; . ,
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