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C� <br />� <br />FOR OFF/CE USE ONLY '� C3 � z._ n 3(� <br />BUILDING <br />Bldg/TI/Addn/Rem Size ��/r <br />Garage Size <br />VALUATION <br />No. of Stories ,� <br />Occupancy Group . Z <br />Occupant Load i�-� <br />Basement Yes No •VFin/Unf <br />Type of Construction - f� <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 (RCV�/64.55) Yes No (,�" <br />Approved by: 1� _ Date: _ 3 <br />Comments ✓ <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 Mitiqation Due? 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: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Comments: <br />No <br />No Rcqt # <br />School Mitiqation Paid? IYes No Date Pd <br />2T� <br />