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a <br /> FOR OFFICE USE ONLY AT <br /> 6 I qo -a29 <br /> BUILDINGPLANNING <br /> 1.3Bldg/TI/Addn/Rem Size 31 � H Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories 1 Total No. of Dwelling Units: <br /> Occupancy Group 3 `Landscape or Planning Inspection <br /> Occupant Load 1(0 needed before final? Yes_ No <br /> • <br /> Basement Yes Noy Fin/Unf Planning Inspector: <br /> Type of Construction ✓— 5 Phone#: <br /> iArAMMIPM <br /> Exstg Sprinkler System? Yes �No Unk Approved;by: fga �_:_-_ ��� <br /> Fire Sprink Regd? Yes No Historic Appr%ved by:/ Date: <br /> Reason j 3 e Comments: <br /> Exstg Fire Alarm? Yes V No Unk <br /> Fire Alarm Regd? Yes ✓ No <br /> Reason yFa (d <br /> CO Required? Yes V No <br /> Enclosure(R 64.55) <br /> Approved by Date: Q ^ 0 <br /> Comments: v <br /> FEES <br /> Plan Check Fee '5 17 ,.Lt <br /> Building Permit ;--46 MI It <br /> 09, <br /> 0 <br /> ,/ <br /> �{ <br /> Surcharge -,SOD� <br /> 1 ,l S'l <br /> Additional Plan Check N�fi4- �--- /^ �,�" vn(� <br /> Water ➢ D yY fj -4-(01 "SGS-f✓1 iv(il`l a?on y DC DA <br /> - c <br /> Sewer ,d Z4 iws h_ <br /> Systems Development it(/�� •* <br /> Public Works ITe1'[ 5 <br /> Traffic Mitigation q4-1Q®'0 <br /> Other <br /> pl&Aru n y,I, ((LA.t.0 2-42-1 . 1,.1, <br /> Z/y <br />