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FOR OFFICE USE ONLY � . <br />S � "� �% `j -�;`(J,'��_ <br />BUILDING <br />Bldg/TI/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 (R W64.55) Yes No <br />Approved by: 1�. Date: _ � <br />Comments: <br />FEES <br />Plan Check Fee <br />Buildina Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes <br />Public Works <br />Traffic Mitigation Due? Yes <br />School Mitiqation Paid? Yes <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 " Date: �J j � 1 <br />Historic Approved by: J Date: <br />School Mitigation Reqd? Yes•�— <br />Comments: <br />No <br />No Rc�t # <br />No Date <br />��2 <br />