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� • � <br />FOR OFFICE USE ONLY ��� C' CL� �- U C�� <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 <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 Required? Yes No <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 />W ater <br />Sewer <br />Systems Development <br />Public Works <br />Traffic Mitigation <br />Other <br />PLANNING <br />�', � <br />ZoninQ Classification I�, � <br />Overlay/Agreement <br />Nonresidential Use <br />No. of Dwellinq Units: <br />Landscape or Planning Inspection <br />needed before final? Yes � No _ <br />Planning Inspector:, '���� :��� <br />S <br />Phone #: L{ 2-� Z�! .— ;c^�',� �l <br />Approved by: �..��'�`� Date:� - �- y � � <br />Historic Approved by: Date: <br />Comments: �_-�S• � ��� <br />�j �t5-�. r.� -�X- � � � � ^'C <br />��s-�1��5�� �/ l�k--r <br />..�1. ,• S'� �-r/ <br />Z�z <br />