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Buildheight handout <br /> tE3, tif Ft ct t V't <br /> Base Elevation Survey <br /> (For Surveyor Use Only IF a survey is required,instructions;Complete this form to determine the average base <br /> elevation of the proposed footprint or to locate the highest point of the sidewalk,whichever applies. This form is to <br /> be submitted with the building permit application.Include these calculations on the site plan and building plans. <br /> During framing,the Height Survey form will be required for the framing inspection,Contact the Planning <br /> Department at 4251578731 if the structure does not meet the height limit) <br /> Date of Survey: t 2,4 Li PERMIT <br /> Property Location Surveyed: -1120 14141% 'ç 5aleitcrei+- Lar Sto <br /> (address and/or parcel#) <br /> Description of Bench Mark: ' St/\f t 1...ker4eci Gi4" ME Corner-Atptre. tte.104-16rorictult <br /> Bench Mark Elevation: 3q5.(1 NAAIDEsts <br /> BOX 1 BOX 2 <br /> = 142.1.5 <br /> 8 r: 2.2.% Highest point of the <br /> C= 421,g sidewalk EL <br /> D= 4426. <br /> A+B+C+D= t(CALCI /4= L12323 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 3-6 (feet) point of the sidewalk <br /> = 153.Z3 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX al1, n Sti'vt% <br /> certify that I measured the grade at the <br /> -3.0 <br /> midpoints of the proposed structure at the lgundisturbed ground elevations/Dapproved <br /> topography elevations for the property above. <br /> BOX 2 0 1, ,certify that I measured the highest point <br /> of the sidewalk for the .roperty above. <br /> 4111111a,d,/ At. 41116--- 11-1(0*-1147 <br /> Signature of Surveyor <br /> M. Si 2 <br /> Company Ai ' A A :•• NVA$ <br /> -4* a <br /> Address Ctot <br /> - "'") sr <br /> tr2* <br /> 44- <br /> SW) <br /> "frir <br /> 34671 <br /> ,A <br /> Phone/Email 925-261- Moa . p <br /> witif <br />