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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size j l Zoning Classification -r <br /> Garage Size Overlay/Agreement <br /> VALUATIONb Z <br /> 2 ( , Nonresidential Use <br /> No.of Stories Total No. of Dwelling Units: <br /> Occupancy Group - Landscape or Planning Inspection <br /> Occupant Load needed before final? Yes_ No <br /> Basement Yes_ No Vin/Unf Planning Inspector: <br /> Type of Construction Phone#: <br /> Exstg Sprinkler System? Yes No U k Approved by: Date: J <br /> Fire Sprink Reqd? Yes_ No Historic Approved by: Date: <br /> Reason < Goo ,:Ff , Comments: <br /> Exstg Fire Alarm? Yes_ No_Unk_ <br /> Fire Alarm Reqd? Yes No <br /> Reason < 60b <br /> CO Required? Yes No V-1- <br /> Enclosure <br /> Enclosure (RC 64.55) <br /> Approved by: Date: <br /> Comments. <br /> 4tv'< NES/.f v0)r1 A-j I /1-L <br /> Mgvi2c- FAY SI'RIAK42AtS' <br /> �!L - of 6 4 N Nc <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Development <br /> Public Works <br /> Traffic Mitigation <br /> Other <br /> 21 <br />