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FOR OFF/CE USE ONLY <br />BUILDING <br />BIdg�Tl/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories � <br />Occupancy Group — <br />Occupant Load %y'� <br />Basement Yes _ No Fin/Unf <br />Type of Construction �'f,�/.�iVd �'� <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 1/ <br />Enclosure (RC 64.55) <br />Approved by: ,� /� Date: ' - ( - <br />Comment� , � <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 />PLANNING <br />Zoning Classification — <br />Overlay/Agreement � <br />Nonresidential Use � <br />Totai No. of Dwellinp Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No �i' <br />Planning Inspector:" �.. ^ <br />Phone #: <br />Approved by� _,�J • Date:`7.. �l, "'L� <br />Historic Approved by: Date: <br />Comm ts: <br />� ���' � � i�� <br />� <br />� � � <br />�� <br />�1/l� °' — - <br />� <br />.� \.J `' <br />� � l-G � 2-0 ��� <br />��Z <br />I�� <br />