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I mg I Leigh I landout - <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 425.257.8731 if the structure does not meet the height limit.) <br /> Date of Survey: I_Zy_ H PERMIT# <br /> Property Location Surveyed: 781O 1 °C.6% ve. Sa i efer .** ' La-Z? <br /> (address and/or parcel II) <br /> Description of Bench Mark: ENI. SS MJ LOC,. In SIE Cor-ner- q4 Alpine Ueigk-I-/erc tf <br /> Bench Mark Elevation: 31-4 S •q NkN p 8g <br /> BOX 1 BOX 2 <br /> A= `1115 <br /> B= LOD Highest point of the <br /> C = '1O7•S sidewalk EL <br /> 0= 2, <br /> A+B+C+D= Itot1O.2./4= 10.05 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> + Maximum Height of'30 (feet) point of the sidewalk <br /> = 1-140.05 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 ® I, Soanne, Kl Swa.nepor, , certify that I measured the grade at the <br /> midpoints of the proposed structure at the ®undisturbed ground elevations/ Dapproved <br /> topography elevations for the property above. <br /> BOX 2 0 I, , certify that I measured the highest point <br /> of the sidewalk for the property above. <br /> (f Signature of Surveyor <br /> \ /� M. S <br /> Company a � L-LQr�d �UtJc�lrlc �OfWAS y�yd, <br /> Address 3() c...ot -e.. ge, d O Z v�- <br /> ere_ I R Q92..0/ <- s71 / <br /> t • <br /> Phone/Email 2.-5°1— 3800 / l(v. P <br />