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� <br />• <br />FOR OFFICE USE ONLY CI 3 O��—dD � <br />BUILDING <br />Bldg/TI/Addn/Rem Size � �) j ��j � <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 ,i' —° j�'•, <br />Exstg Sprinkler System? Yes No :-'I nk <br />Fire Sprink Reqd? Yes No ' <br />Reason <br />Exstg Fire Alarm? Yes No Unk t <br />Fire Alarm Reqd? Yes No ' <br />Reason °� �� �nr j � �/} f�-�`� �..0 . <br />CO Required? Yes�_ No_ <br />Enclosure (RC�� 64.55) <br />Approved by: - Date: �. � ) <br />Comments� <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 />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Total No. of Dwellina Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: � <br />-' _______ <br />Approved • l" --" Date: <br />Historic Approved b�: Date: � <br />Comments: f �I� <br />c+ �U �Lt/� i..r��✓�C'U �' �l <br />��-5�� <br />a� �Nu l n Ci�'� ���'`� ���tG �' S <br />L�i �� � Gn/ � `/'�� <br />h� u I�, �� 5�►"--� <br />� f, �) c� �' C k vt n� r��K- <br />1 b1 � S'� 1`�T c <br />�`� <br />