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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Iy63 S/ Zoning Classification iS".?— <br /> Garage Size 2 95 s f Overlay/Agreement <br /> VALUATION /'/Q,SOB Nonresidential Use <br /> No.of Stories 3 Proposed No.of Dwelling Units: <br /> Occupancy Group /�I(/j Total No.of Dwelling Units: <br /> Occupant Load Landscape or Planning Inspection <br /> Basement Yes_ No Z Fin/Unf needed before final? Yes No <br /> Type of Construction 7-5 Planning Inspector: `1::$.7 J l— <br /> ExstgSprinkiersystem? Yes NoUnk Phone#: L/25-257 • -7(SS <br /> Fire Sprink Reqd? Yes_ NoApproved by: 73T- Date: 1?-//S//�f <br /> Reason Historic Approved by: Date: <br /> Exsfg Fire Alarm? Yes No—Unk School Mitigation Reqd? Yes— No <br /> Fire Alarm Reqd? Yes No Comments; <br /> Reason I <br /> CO Required? Yes_ No <br /> Enclosure <br /> Yes No <br /> Approved by: .55) Date:/2/12/1!f <br /> Comments: Zo/Z //1 G > `f/SrcC <br /> • <br /> • FEES <br /> Plan Check Fee . <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> • <br /> Sewer <br /> • <br /> Systems Dev.Due? Yes No <br /> Public Works <br /> Traffic Mitigation Due? Yes No_ Rcpt# <br /> School Mitigation Paid? 'Yes No Date Pd <br /> • <br /> (7 212_ <br />