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HuilJine Hcight Handout •P:�gc J of 4 <br />Cily nf Evcrctt, \VA <br />Height Survey <br />�ForSurvcyor Use Only IF o survey is required. lnstrutfions: Complefe lhis form prior fo the/raming inspection. This <br />Jorm will need to be provided to the Gty inspector ot the Jraming inspedion. Contact [he Planning Departmen[ a[ <br />475157.8731 iJ the structwe does not meef the heighf limit. f <br />Date of Survey: 3� � �S PERMIT 7trL • ii��� <br />PropertyLocationSurveyed:��•z35_�o`.�UVAN'��NC- C.,za� Wn,-rpy��o5350�o,��zoo <br />(address and/or parcel q) <br />DescriptionofE3enchMark:Tc� a+r��C.��O @ EnST �Nn Dr��F.J4X S.�iT +.»cz+L� <br />� c ,+F <br />Bench Mark Elevation: 10�„ ,� ��P.�.�v-ccv �N C.��e� <br />Fill in the information from the aouroved Base Elevation Survev for Box 1 or 2 and comolete Box 3) <br />q- \O(c�� <br />s= ���.� <br />c= toc�.zs <br />D= 10�.,.� <br />A+B+C.D= �Z�-8 /q_ \01.0 <br />BOX 1 <br />Average Base Elev. <br />+ Mazimum Neight of : � (feet) <br />= i3s Maximum Elevation Allowed <br />eox z <br />Highest point of the sidewalk <br />EL <br />'Submit a mapshowing the <br />location of the highest point of <br />the sidewalk. <br />BOX 3 <br />Actual Elevation': 13`'E -Co (elev.) Height of Structure•: Z� •Ce (feet) <br />•Measure Fram the average base elevation to the roof peak or from the sidewalk to top of roof. <br />Check: <br />I, M A Tf- SCNN�IDE'R 5 , certify that I measured the height of the structure from <br />the� approved average base elevation / � highest point of sidewalk to the top of the <br />ridge/roof. The structure�meets the height limit / O doesn't meet the height limit. <br />�llacL�-- � .s'�.��G..� <br />Y <br />Signature of Surveyor <br />, <br />Company i�S�� l..a..�!� 5�,��zy�.ay S 11.a�vN <br />Address `-1'S3Z -� EvoR�jcv� .� y,� � <br />E. V C�E.�' W 4 1 V ZO �J <br />Phone/Email �'-�ZS� ZS'L--lb"3'-ti <br />/v��:.�s c7 n1�1,a,s..S.c�,.,.. <br />