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� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size �-°� <br />Garage Size <br />VALUATION <br />No. of Stories 1 <br />Occupancy Group <br />Occupant Load 3 � � <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 �- 'C(n <br />Exstg Fire Alarm? Yes No _ Unk <br />Fire Alarm Reqd? Yes � No <br />Reason '� <br />CO Required� Yes No _ <br />Enclosure (R 64.55) Yes No <br />Approved by: Date: (, - I <br />Comments: <br />Plan Check Fee <br />Buildinq Permit <br />Additional Plan Check <br />Water <br />Sewer <br />Dev. Due? <br />Public Works <br />Traffic Mitiqation Due? <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: . _ Date: �• � ?j <br />Historic Approved by: Date�:-- <br />School Mitigation Reqd? Yes No <br />Comments: �/'s� <br />��tf �� I�y���L.l� 7Gr ! wl l�, J/„� <br />r� �y � <br />!�'�U( �� iG�'` -� - <br />� <br />FEES <br />Yes No <br />Yes No Rcpt # <br />School Mitiaation Paid? IYes No Date Pd <br />