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: _ <br /> ; r . . <br /> ��� ��v��w ���c��'��r ��� ��� ���uc����� � �����on�s <br /> � Adc6res�: `�� !,� ������3'S'�� ��a� Permit No.:_��� m ����'� : <br /> � . <br /> I Descri�sti�n of v�ork: �� t; �, Da#e R�c'd: �����l�' <br /> _ , <br /> . <br /> S�p�ic revi�wr b�►: 6�� D�t��lppr�ved: : _ <br /> Zon6n�r�view by. � � ,�,_' D�4e Appraveci. <br /> Builc�ing redie�nv I�y: Date�Pr�v�d: � f �� - � o��. , <br /> �r�dfng"review bY: ��'� � D�te Approved: ; _ <br /> � ; Zanie�g Disfirict:, Zoni�ng �il�#: R�so#; Reso Dat�: <br /> �' Z�n g:Lot l�r�: �F!AC Width:��� ; Lot Coverage: SF `% ; <br /> ' �urvey ubrriiif�: 0 Yes : � No Da�e cef'Survey: Revised dat ? : <br /> Pro osee� b�cicsr. _ : <br /> � �ront(��6s� F2ear(�treet) � :�d � E W � f; A1 S E W ) 0�her.�uildin �letl�nc9 <br /> Sid� ,- . S1d� ' <br /> �ef�n�d Height: Peak He6ght:�, .;F��: - F�IE minua�fee; = (F�ci$�in�Corstoa�r <br /> � E�erprn�ter{lin�a°f�t)m 50°l0= r l� . belaw gr�d� �of 5tories ` <br /> �OR A BUILDI6VG V►11TH/A��EAIIEId'I'OFt W�SPA.CE: �OR A'BUILDIRIG 0(� SLL�F011IdD,�Tl0�1: <br /> The dfstan een the lowest proposed - The dfstance tietvreen the top of <br /> START W ITH 'floar(of the b� ment or crauuF.space)and START W ITH stab ar�d the highest polnt o'f the <br /> � , #he Mfghest polnt the roaf. . : roof. < ', <br /> ff you have a... tf'you have a... <br /> GABLE OR HI�'P RAOF(no ' • 'GABLE OR HtPPED ROOF <br /> � � wiritlows): Subtra alf the tlfstance (no windows): Subtract haff <br /> betweert the highest nt of the roof fhe distance ltetw8en t�te <br /> W the;Ipw poini of�e co.espondirtg hlghest,point of the roof to <br /> flte lowi potnt of the <br /> SUg'fRACTI�N gabte or hipped-rAof corresponding gabie or <br /> (BASEE)ON . GABiE OR HIPPED ROOF( ' SUBTRACTION hipped roof i <br /> ROOF TYPE) windows): Su6tract haif the dis ce {BAS�D ON �� GABLE OR FffPPED ROOF =i <br /> between#he'top of fhe Mighest � ; ` ROQF TYPE) (w3tfi wfrtdows): Subtract <br /> ;- wlndow and 3he hfghest point of , heif the distance between <br /> . , roof ; - tl�e tnp�of the highest , <br /> • ALL OTHER ROOF-TYPES windovr ar�c9 the highest <br /> mansard,etc}:No subtra n. ' Point of the roof <br /> + ALL 0'T'HER ftOOF TYPES , <br /> SUB7RACTION SubVacf the dis#a��betw the (flat,mansard,etc):'No ' <br /> (BASED OM basement/erawl space r and the ' ` ' subhaa on. <br /> EXISTING hl9hest e�sthtg grade jacenf to the AUDITION Adc1 the dlstance between t�1e fop: <br /> ' GRADES) ` four�daUon OR 10 f (wfiich�ver is fes�). ,: (BAS�D QN ` of slab anrl the highest existlng, <br /> EQU/1L3 ` peflned'bu01d1 heigMt EXISTING grade adJacent to the foundaUon. <br /> . ,. ;:: ; . GRADES , <br /> , = ':; ELIUJILS Defined building�aeight <br /> s�hore9and D#stric� tdIC1�YD�'en�ei:t �►verage L�Ic��hore tbaa� �IufF <br /> 119�t? <br /> ,: � Yes � N Perntit hlumb�r. � Yes � 'No '[] q Yes � 'No <br /> , ` � N/A-see a�tached ' ` ; Setbaak: .. <br /> 3taemarater C� lit�r �isfile�g iiarticover Prapo��d <br /> f)verlay D rict o F9�rd�over Vaeianc�r R�talre¢d, �Requir�d <br /> ! Ti�r ci e one (/°an�� °/a and : <br /> � � Yes � No C� Yes � No <br /> i - , , <br /> ! 1 ' 2 3 4 5 : ;. , T Y P e{s}: ' T y p e(s); . , <br /> ( lipdated: January20�5 <br /> � <br /> z:\forms�plan revieRw checklist 2015.docx <br /> I ' . _ <br /> ! <br />