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0 0 <br />FOR OFFICE USE ONLY S 13 / C) .-Cif} z <br />BUILDING <br />Bldg,/T.1, Size <br />Garage maize <br />VALUATION <br />Ho. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement <br />Yes 1,10-- <br />T;pe Of COIISM10011 <br />Fire- Spink Re(ld <br />Reason <br />Fire Alarm Reqd <br />Reason <br />CO Required? <br />Enclosure iRCVV64.55t <br />Approved by /vl Date <br />.10/41 <br />Comments: <br />ZONING <br />Lot Area <br />Front Setback <br />Rear Setback <br />Side 'Setback <br />Vacant Site <br />Yes tJa <br />Use Zone <br />/41 <br />Height Limitation <br />Ho. of Dl^ ellinct Units <br />Landscape / Planning Inspection <br />needed before final? Yes No <br />Approved by Date <br />Comments: <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />v'Vatet <br />ewe, I <br />Systems Development <br />Public W01I.S <br />Traffic Mitigation <br />I <br />lothel <br />