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I <br />� <br />� <br />FOR OFFICE USE ONLY '� <br />� �3c�5-vz�J <br />BUILDING <br />Bldg./T.I. Size `S ° ° <br />Garage Size <br />VALUATION <br />No. of Stories N � <br />Occupancy Group <br />Occupant Load l`3 5 <br />Basement Yes No N � <br />Type of Construction ( �� <br />Fire Sprink Reqd E S <br />Reason zC 'T � <br />Fire Alarm Reqd <br />Reason � -r G <br />CO Required? <br />Enclosure (RC 4.55) <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 />ZONING <br />Lot Area ---�'� <br />Front Setback �-�-J <br />_�_. <br />Rear Setback ' " <br />Side Setback ----'� <br />Vacant Site Yes No'� <br />Use Zone � � <br />Height Limitation '--"� <br />No. of Dwelling Units -� <br />Landscape / Planning Inspection <br />needed before final? Yes No � <br />Approved by Date C�� / � � <br />Comments � <br />Z'� <br />