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FOR OFFICE USE ONLY <br /> �'1 I �7- O <br /> BUILDING pLANNING <br /> Bldg/TVAddn/Rem Sizc Zonin Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Slories Proposed No. of�vrelling Unils: <br /> Occupancy Grou Total No. of De�elling Unils: <br /> Occupant Load Landscapo orPlanning Inspectian <br /> Dasement Yes No FiNUnf ncedcd before final7 Yes No <br /> T pe of Consfrudion Planning Inspector: <br /> [xslg Sprinhler Sys;em7 Yes NO Unk Phore#: <br /> Fire Sprink Re d7 Yes No_ Approved : � Z ��1 <br /> Reason HistoricP.ppro edby: Dale: � <br /> Exstg Fire Alarm9 Yes No__Unk School Mitigaticn Reqd? Yes No <br /> fire Alarm Reqd7 Yes Mo Commenls: <br /> Reason <br /> CO Re uire 7 Yes No <br /> Endcsure( CW64.55) Yes No_ <br /> Approved Dafe <br /> Comme � <br /> FEES <br />, Plan Check Feo <br /> Building Pcimif <br /> Surcharge <br /> Addi!ional Plan Check I <br /> Waler <br /> Sewer <br /> Syslerns�ev. Due? Yes No <br />� Public N'orks <br /> . Traffic Mitigalion �ue� Yes No Rcp�# <br /> School h7itigation Paid7 Yes No Date Pd <br /> `�Z <br />