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FOR OFFICE USE ONLY B I Ltd L _Gc <br />y- to- /t ( <br />BUILDING <br />Bld RI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. Of Stories <br />Occupancy Group <br />Occu ant Load <br />Basement <br />Yes <br />No <br />Fin/Unf <br />Type of Construction <br />C011111101. <br />E Q <br />E■stg Sprinkler System? <br />Yes <br />No <br />Unk <br />Fire Sprink Re d? <br />Yes <br />No <br />Reason <br />Exstg Fire Alarm? <br />Yes <br />No <br />Unk <br />Fire Alarm Re d? <br />Yes <br />No <br />Reason <br />CO Required? 1yes <br />_ No <br />_ <br />Enclosure RC .55 <br />Yes <br />No <br />Approved b <br />Date' <br />Comment <br />PLANNING <br />Zoning Classificalion <br />Overlay/Agreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector <br />Phone N: <br />I I <br />Ap roved b <br />Historic App61ed by; Date: <br />School Mitigation Re d? Yes No <br />Comments: <br />