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� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg./T.I. Size �U f � <br />Garage Size <br />VALUATION <br />No. of Stories `� <br />Occupancy Group � — Z- <br />Occupant Load � ,� <br />Basement Yes No � <br />Type of Construction / — I ( (� <br />Fire Sprink Reqd � <br />Reason <br />Fire Alarm Reqd ` � <br />Reason <br />CO Required? <br />Enclosure (RC 4.55) /V � <br />Approved by i� Date �/ U-)'� <br />�Co���ment�� i <br />. � <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 />i <br />ZONING <br />Lot Area <br />Front Setback <br />Rear Setback <br />Side Setback <br />Vacant Site Yes No <br />Use Zone <br />Height Limitation <br />No. of Dwelling Units <br />Landscape / Planning Inspection <br />needed before final? Yes No <br />Approved by Date <br />Comments: <br />`��E-E:s �� l `?�c "� > � ��; � - <br />� 13V3-D�3 <br />�� <br />