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'�� • i <br />FOR OFFICE USE ONLY �j( � C�5 ��� <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories 2' <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 ( .55) /1N <br />Approved Date: <br />Comme <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 />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: �� �;�-.�''� <br />Approved by: '" i'��- f�ate: 7^ Z?� � <br />Historic App�oved by,�� Date: <br />Comments: <br />�"� <br />l� L' �; ��y'l'1 J''�-� tl-�? C�%:I/���� <br />�� <br />