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ri ' <br />n <br />� <br />PERMIT NUMBER <br />SITE ADDRESS <br />� <br />FOR OFFICE USE ONLY <br />ZONING <br />LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK <br />[ ��z,� � �o ( !� ( <br />O� � E�G APPROVE 8� DA�O .��•'� COMMENTS <br />UNITS <br />BLDG/T.I. SIZE GARAGE SIZE NO. OF <br />•� � � � STOF�IES <br />� 1•� <br />NEW FIRE SPRINKLER REASON <br />REQ'D `y� � � � 1� C <br />1 <br />ENCLOSURE PROVED BY / DATE <br />SUB-PERMITS <br />VACANT SITE USE ZONE HEIGHT LIMITATION <br />YES NO / <br />n � 1M�`� � � <br />BUILDING <br />OCCUPANCY OCCUPANT BASEMENT TYPE OFCONSTRUCTION <br />GRO 1P A LOAD YES NO <br />���t� 1 - 3 <br />NEW FIR ALARM REASON <br />REQ'D- ,� t .� /' <br />�j'�r, ) �� <br />COMMENTS <br />, � �� "� �"��'� <br />VALUATION � � � 3 3 <br />���/?�J ^/ � ,�''�� <br />�i /�i ' <br />BUILDING /��i -_�L% <br />SURCHARGE ��i.�� <br />ADD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLICWORKS ������ �� <br />TOTAL <br />PLAN CHECK FEE `� ��i�� ZS <br />� ._--'i�-; ti ` � <br />FEES ,' ' `� � <br />� <br />WATER .� -�l� <br />7 <br />J <br />SEWER �C� L ��� <br />� � <br />SYS. DEV. <br />TRAFFIC MIT. � � �( � - <br />OTHER <br />� � <br />`�r' � J r.� , , , . <br />�,�, , I �,f " . ' 0 <br />_ , � <br />TOTAL <br />