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• <br />FOR OFFICE USE ONL Y <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occu ancy 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 <br />Exstg Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />CO Required? Yes No <br />Enclosure (R W64.55 <br />Approved by Date: g�3 1, <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 />• <br />� � �03 --d23 <br />PLANNING <br />Zoning Classification �'� -"� <br />Overfay/Agreement ""-- <br />Nonresidential Use <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No V <br />Planning Inspector: - <br />Phone #: <br />Approved by,� ��{—�/ Date: ��� <br />Historic Approved by: Date: — <br />Comments: <br />�� �I �l (.�; ��e �� i � ; � ��: <br />z�� <br />