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�J <br />FOR OFF/CE USE ONLY L �� � � �� _ ,_, _. „ <br />i.-�;�� <br />BUILDING <br />BIdg1Tl/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <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 Unk <br />Fire Alarm Reqd? Yes _ No <br />Reason <br />CO Required? Yes No <br />Enclosure (RC 4.55) Yes No <br />Approved by: Date: <br />Comments: <br />FEES <br />Plan Check Fee <br />Buildinq Permit <br />e <br />I Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes <br />Public Works <br />Traffic Mitiaation Due? Yes <br />School Mitiqation Paid? IYes <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 />Approved by: .5 (�r4- Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Comments: <br />���� I r�i� i� vt� C/1 <br />���� � � ��� <br />�✓�I�II ��L`� <br />No <br />No Rcpt # <br />No Date Pd <br />zlz <br />