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• <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size l� <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group � Z. <br />Occupant Load N � <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 L 'F . <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 0 . — <br />Comment . <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? <br />Public Works <br />Tra�c Mitipation Due? <br />� <br />PLANNING <br />Zoning CfassifPcation ` <br />Overlay/Agreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units: <br />Totai No. of Dwelling Units: <br />Landscape or Pfanning 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 />Yes No <br />Yes No Rcat # <br />School Mitiqation Paid? IYes No Date Pd <br />