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; , <br /> FOR OFFICE USE ONLY � � ��p� -Q �� <br /> �7 --I�{'�l�/ <br /> BUILDING PLANNING <br /> �Idg IA ddn/Rem S�re �}470 Zoning Classificahon _ <br /> Garage Sire '� Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Proposed No. of L'rielflrq Units: <br /> Occupancy Group � 'a" Total No. of Dv;eliing Units: <br /> OccupantLoad Landscape orPlanninglnspection <br /> �asemenl Yes No Fin/Unf___ nceded before fnal? Yes No___ <br /> Type o(Construclion �=1g Planning Inspector. <br /> EMs�g Spnnkl�r System7 Yes !" NO Unk Phone#: <br /> Fire Sprink Reqd? Yes No Approved by: Date: <br /> Reason euA�� I His!oric�pproved by: Date: <br /> [xsig fi;e A!arm? Yes� _ No _ __ Unk_____ School �d�itigafion Reqd� Yes__ No__ <br /> rire Alarm Reqd7 '!es � No Commenis <br /> Reason �� �h`j 1 �7 e ���p� <br /> CO Required? Yes ___ No� /!0 `������ i <br /> Enclosure (RC`A�64.55) Yes No. __ r���/,�, <br /> Approved by. Da!e� <br /> Commen�s �o�ATZO oN a.�Jp {'ldOn-• ���t <br /> FEES <br /> Plan Chech �ee <br /> Buildi�g PBmu� <br /> Surcharye <br />' Additional Plan Check <br /> Wafer <br /> Sewer <br /> Systems Dev. Duc? Yes____ No <br /> Pubiic'A�orks <br /> Traffic�ditigalion Due? Yes__ No_ Rcpi# <br /> School M1ddig.3�ion Pald? Ycs No Dale Pd _ <br /> �� <br />'L <br />