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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No,of Stories Proposed No.of Dwelling Units: <br /> Occupancy Group Total No.of Dwelling Units: <br /> Occupant Load Landscape or Planning Inspection <br /> Basement Yes No Fin/Unf needed before final? Yes No <br /> Type of Construction Planning Inspector: <br /> Exstg Sprinkler System? Yes No Unk Phone#: <br /> Fire Sprink Reqd? Yes No Approved by: Date: <br /> Reason Historic Approved by: Date: <br /> Exstg Fire Alarm? Yes No Unk_ I School Mitigation Reqd? Yes_ No <br /> Fire Alarm Reqd? Yes No Comments: <br /> Reason <br /> CO Required? Yes No <br /> Enclosure(R W64.55) Yes_ No_ <br /> Approved by. Date: 2 3 t <br /> Commentsr <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? 1yes No Rcpt# <br /> School Mitigation Paid? IYes No Date Pd <br /> 20 <br />