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� <br />�o� o��rc� us� ��� � <br />BUILDWG <br />Bldg/TI/Addn/Rem Size ( <br />Garage Size <br />VAlUATfON <br />` No. of Stories � <br />Occupancy Group M <br />Occupant Load � <br />Basement Yes No Fin/Unf <br />Type of Consfruction � <br />Exsfg 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 (RC 64.55) Yes No <br />Approved by: Date: <br />Comments• <br />FEES <br />Plan Check Fee <br />Building Permii <br />Surcharge <br />Additional Pian Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes <br />Public Works <br />Traffic Mitigation Due? Yes <br />School Mitiqation Paid? Yes <br />• � . ._ ( , - <br />�3( liz LJZ� <br />PLANMING <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 fnspecfor: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Dafe: <br />School Mitigation Reqd? Yes _ No <br />Commenfs; <br />�o ��v�� ��� . <br />�� �� �� �� <br />No - <br />No <br />Date Pd <br />�/ � <br />