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� <br />�'oR ��FIC�' US� �N�Y B45 �� - 0� 3 <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />� <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Consfruction <br />Exstg Sprinkier 5ysfem? Yes No Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />Exstg Fire Alarm? Yes No Unk_ <br />Fire Alarm Reqd? Yes No <br />Reason <br />CO Require ? Yes No <br />Enclosure ( CW64.55) Yes No _ <br />Approved Date: — <br />Comme <br />FEES <br />Plan Check Fee <br />Buildin4 Permit <br />al Plan Check <br />Water <br />Sewer <br />Systems Dev. Due7 Yes <br />Public Works <br />Traffic Mitiqation Due7 Yes <br />School Mitigation Paid? �Yes <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units: <br />Total No, of Dwelling Unifs: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes _ No <br />Comments; <br />��� <br />No Rcpt # <br />Date Pd <br />�z <br />