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• <br />• <br />FOR OFFICE USE ONLY �� ��� � <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 CDMM <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 Require . Yes No <br />Enclosure (R W64.55) Yes No _ <br />Approved b . Date: . <br />Comment . <br />FEES <br />Plan Check Fee <br />Building 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: � % l�`j'" <br />Phone #: �/25 —2s ? ' �ISS <br />Approved by: 1 (� � Date: $ � �� <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes _ No <br />Comments: <br />S�l,-(° -� j � �'%'� f <br />No <br />No Rcpt # <br />No Date Pd <br />� <br />IZ <br />