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� <br />� <br />FOR OFF/CE USE ONLY <br />BUILDING <br />Bldg./T.I. Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No <br />Type of Construction <br />Fire Sprink Reqd <br />Reason <br />Fire Alarm Reqd <br />Reason <br />CO Required? <br />Endosure (RC 64.55) <br />Approved by Date .. <br />Comments� <br />�� <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additionai Plan Check <br />Water <br />Sewer <br />Systems Development <br />Public Works <br />Traffic Mitigation <br />Other <br />Lot Area <br />Front Setback <br />Rear Setback <br />Side Setback <br />S[ � U G�-C�C� Z <br />ZONING <br />Vacant Site Yes <br />Use Zone � � " <br />Height Limitation /� <br />No. of Dwelling Units , <br />Landscape / Planning Inspection <br />needed before final? Yes <br />A�aroved bv.-�I� .-_- < Date <br />Comments: <br />� <br />No v '" <br />�I Z <br />