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FOR OFF/CE USE ONLY <br />BUILDING <br />Bldg/TI/Addn Re Size I�S � <br />Garage Size <br />VALUATION <br />No. of Stories Z <br />Occupancy Group � ` 2- <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction � � <br />Exstg Sprinkler System? Yes NO Unk <br />Fire Sprink Reqd? Yes No ; <br />Reason <br />Exstg Fire Alarm? Yes No L Unk_ <br />Fire Alarm Reqd? Yes No 1� <br />Reason <br />CO Required? Yes _ No l� <br />Enclosure (R 64.55) Yes _ No "� <br />Approved by Date: - <br />Comments: <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Svstems Dev. Due? <br />FEES <br />• <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />� � _� <br />Approved by: `}r•��� Date: <br />Historic Approved by: ;; Date: <br />School Mitigation Reqd? Yes No <br />Comments: <br />�� I«6 I i�l I i'�i <br />� � <br />��fi �e�( �t <br />1 <br />Yes No <br />Public Works <br />Traffic Mitigation Due? Yes <br />School Mitiqation Paid? Yes <br />No Rcpt # <br />No Date Pd <br />