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• <br />� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bld I/Addn em Size � � <br />Garage Size � <br />VALUATION 2jS UCJO --�—° <br />No. of Stories � <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 �= %�'� y <br />Exstg Fire Alarm? Yes _ No _ Unk_ <br />Fire Alarm Reqd? Yes �%� No <br />Reason ''� �( � ' (,, <br />CO Required? Yes No <br />Enclosure (RC 6 .55) <br />Approved by: � �j Date: — <br />Comments: ; . <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 />�3 t�, C� �� a c� <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Total No. of Dwellinq Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic A roved by: Date: <br />Comm nts: <br />✓✓� ���yK-r�'`�� <br />�L <br />�� <br />c �o <br />L!./IK' ��'v" ' + <br />� � � <br />V ` � <br />��Z <br />