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� <br />�o� o��ic� us� ��c, � <br />BUILDING <br />Bldglrl/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 Consfruction <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 (RG' 4.55) Yes No <br />Approved by: ' � Date: — c� -�_`� <br />Commerfts: ' <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 />Traffc Mitigation Due? Yes <br />School Mitiqation Paid? Yes <br />� <br />� � S� 2-d 3 c� <br />PLANIVING <br />Zoning Classification � — r� <br />Overlay/Agreement <br />Nonresidential Use � �q�(,�.r��� � <br />Proposed No. of Dwelling Units; <br />Tofal No, of Dwelling Unifs: <br />Landscape or Plannin pection <br />needed before fi�al? Yes No <br />Ph9� #: <br />Date: <br />Historic Approved by: �-L1af.,e_ <br />5c o iti4ation Re4d? Yes No <br />Commenfs: <br />� <br />�„��,.,� C�,�P�-� <br />No • <br />No <br />Date Pd <br />Z�� <br />