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• <br /> • • <br /> FOR OFFICE USE ONLY <br /> Iit09 -053 <br /> .. ... ._.. ... <br /> BUILDING PLANNING <br /> BId /TI ddn/Rem Size 1 3 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Stories Proposed No.of Dwelling Units: <br /> Occupancy Group Total No.of Dwelling Units: <br /> Occupant Load I Landscape or Planning Inspection <br /> Basement Yes_ No Fin/Unf needed before final? Yes No_ <br /> Type of Construction ) 'Q Planning Inspector: <br /> Exstg Sprinkler System? Yes No_Unk Phone#: <br /> Fire Sprink Reqd? Yes No Approved by: Date: <br /> Reason Historic Approved by: Date: <br /> Exstg Fire Alarm? Yes ✓ No Unk School Mitigation Reqd? Yes No <br /> Fire Alarm Reqd? Yes ✓ No_ Comments: y� �^ <br /> Reason �� ���'(,l/ / V/e <br /> 7_�f <br /> CO Required? Yes_ Nom re C► <br /> Enclosure(R W64.55) Yes No'17-. <br /> G� <br /> Approved b : A Date: ,Q ..3 _ OAT- ?/75 <br /> Comment <br /> • FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <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 />