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do <br /> FOR OFFICE USE ONLY B 4o z <br /> BUILDING I PLANNING <br /> Bldg/TI/Addn/Rem Size 4 Li (0 ! Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION -j FiJ 642 Nonresidential U <br /> No.of Stories Proposed No.of Dwelling Units: <br /> Occupancy Group �l' Total N•.of Dwelling Units: +— <br /> Occupant Load 22,7.1 Lan• cape or Planning Inspection <br /> Basement Yes_ No Fin/Unf_ =eded before final??Yes, No_ <br /> Type of Construction - PIN ing Inspector U <br /> i <br /> Exstg Sprinkler System? Yes No Unk_ P r •: 7 J7- S9�t <br /> Fire Sprink Reqd? Yes No , , •�i�•ved by:a Date:2-04 i i <br /> Reason C..- A � r toric Approved by: Date: <br /> Exstg Fire Alarm? Yes No k_140 School Mitigation Reqd? Yes_ No <br /> Fire Alarm Reqd? Yes V No \i ge.„),----' t c Comments: Co M PL,t. LA <br /> Reason 050%/ c'S — 63tA <br /> CO Required? Yes o_ <br /> Enclosure(RC 64.55) Yes / No_ p�Ov- r �5.� C3 <br /> Approved by: D- ��" --^6j-I 1� <br /> Comments' I of (MA° I <br /> fTl ikL-! off.c.c.F cy <br /> cf 4—fes. <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 />