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FOR OFFICE USE ONLY B t`io 2 QC,°( <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 4[ 1 (0 I Zoning Classification -PP...,...— <br /> Garage Size - Overlay/Agreement <br /> VALUATION5 (pLirt. Nonresidential Use <br /> No.of Stories Proposed No of Dwelling Units:t <br /> Occupancy Group (1 1 Total No:of Dwelling Units: if— <br /> Occupant Load 7,7,. Landscape or Planning Inspection <br /> Basement Yes_ No Fin/Unf_ needed before final? YesNo <br /> Type of Construction : g / Planning Inspector: t <br /> Exstg Sprinkler System? Yes .;No �/ Unk_ Phone#: 2-57- 39 k 1 <br /> Fire Sprink Reqd? Yes No Approved by: Date: B.(4e tit <br /> Reason 13 C_ Historic Approved by: Date: <br /> Exstg Fire Alarm? Yes No nk_ School Mitigation Reqd? Yes_ No . <br /> Fire Alarm Reqd? Yes No— Comments: ,,-,, spit per,f k % <br /> Reason , `('} 1 , k (53'A <br /> CO:Required? Yes / o _._ „ ..... .� ..___. . _ � m_ <br /> % Enclosure(RC'r 64.55) Yes i No �.. i.- <br /> Approved by: . Date: /-f tzsivvaj 'YUo R_ "' <br /> Comments <br /> ft t 1\L--( t GA..(?F .moi c 7' <br /> i <br /> FEES <br /> ` 7 tri Plan Check Fee <br /> (+J(', � Buildingg Permit <br /> !. C/ ��..' Surcharge <br /> � , i�'� , p Additional Plan Check <br /> ' % <br /> ,, Water <br /> :, op G"- ' i,„A Sewer <br /> ''''Sf4:::P1:-•,-.,,,.'*,'-:7:,:,:-:':---- • CO /'' , Systems Dev. Due? Yes No <br /> Public Works <br /> Traffic Mitigation Due? Yes No_ Rcpt# <br /> ,,,.,,-, (../0' e i <br /> sii9ti <br /> Iy' (, School Mitigation Paid? IYes_ No_ Date Pd <br /> r <br /> { i <br /> py <br /> f (d) <br /> f a O 01' <br /> ff yo ,Iptr' i 14 <br /> Cb' <br />