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�=o� o��r�� �s� ��c�� � f S o�-G� C� <br />BUILDING PLANIVING <br />Bldg/TI/Addn/Rem Size Zoning Classification <br />Garage Size Overlay/Agreemenf <br />VALUATfON Nonresidential Use <br />` <br />No. of 5tories Proposed No. of Dwelling Units; <br />Occupancy Group Total No, of Dwelling Units: <br />Occupant Load Landscape or Planning Inspection <br />Basement Yes No Fin/Unf needed before final? Yes No <br />Type of Construction �� � Planning Inspecfor: <br />Exstg Sprinkier System? Yes No Unk Phone #: <br />Fire Sprink Reqd? Yes No Approved by: Dafe: <br />Reason Historic Approved by: Date: <br />Exstg Fire Alarm? Yes No Unk_ School Mitigation Reqd? Yes _ No _ <br />Fire Alarm Reqd? Yes No Comments; <br />Reason <br />CO Required?, Yes No <br />Enclosure (R� 4.55) Yes No <br />Approved b�: ate: - � - <br />Comment5: <br />-i <br />�/ <br />� FEES ' <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Sewer <br />Sysfems Dev. Due? Yes <br />Public Works <br />Traffic Mitigation Due? Yes <br />School Mitiqation Paid? Yes <br />No • <br />No _ Rcpf # <br />Vo Date Pd <br />�,/�r��� . �%' <br />�)Z <br />