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, <br /> Building Height Handout-??,f ,• 3:, 4 <br /> t.;':t v of 1, yr€ t,XI <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 42.5.257.8731 if the structure does not meet the height limit.) <br /> Date of Survey: 7-'4 "" y PERMIT# <br /> LST` 2069 <br /> Property Location Surveyed: 4i ` ..5� aRr pi/1r /20? -26/,5.- 3.ezt 4' uK re <br /> (address and/or parcel It) <br /> Description of Bench Mark: i a ' /1g/CAP .77)S r ..coovtuerr o <br /> ,; .oPrs a 4vat.fttc1 roerpRewr <br /> Bench Mark Elevation: L= /17.: ' (ice) <br /> BOX 1 BOX:2 <br /> B= C �' Highest point of the <br /> C=_.114.- - erg sidewalk .. EL <br /> D= /1 ,?. 37. <br /> A+B+C+D= 5‘, /4= //14,10 Average Base Elevation *Submit a map showing <br /> Height of the location of the highest <br /> +Maximum Hei <br /> g (feet) point of the sidewalk <br /> = f 4 2',lO Maximum Elevation Allowed abutting the property. <br /> Cheek: <br /> BOX1 I, / GX1V E/P6 5 ; certify that I measured the grade at the <br /> yidpoints of the proposed structure at the undisturbed ground elevations/Clapproved <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 /> ge2411„:11, .fC 4........, , - -2 <br /> Signature of Surveyor D _, :: <br /> .4Z4,,,,. <br /> Company 11 O . �gF... ?' Af ii 0;v1 , °R <br /> Fb� 4, aj} <br /> 4 v ,a b7‘4, <br /> _EL%�)1 N ti <br /> Address W ' "r 4 . 1" ' <br /> I <br /> g vcge WA 5'8203 I. ,q .,,, ip <br /> It+A'(� �^'n.` bra ,s. .. <br /> Phone/Email (2.5-2 `�- / i ' { .5" ; tp/fd$d, ,.C" $ kin 610 <br /> a <br />