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• FOR OFFICE USE ONLY • <br />PERMIT NUMBER <br />SITE ADDRESS <br />LOT AREA FRONT SETBACK REAR SETBACK <br />I �j b� o-1 ioC( r iJ /Id1- <br />NO. OF DWELLING APPROVED BY DATE <br />UNITS � <br />�--- �� �I 1� � � �i <br />SUB-PERMITS <br />ZONING <br />SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br />� � YES NO R_ I / � � <br />l <br />COMMENTS <br />(�r r�-eA�15 J� 4,�c 15 �-�io► w� h� � <br />BUILDING <br />BLDG/T.I. SIZE GARAGE SIZE NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />��� S, � l� <br />NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br />REQ'D REQ'D <br />APPROV D B DATE COMMENTS <br />/ z� �..� <br />VALUATION �� �� C / <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK FEE <br />FEES <br />WATER _ <br />SEWER _ <br />SYS. DEV. _ <br />TRAFFIC MIT. _ <br />OTHER _ <br />TOTAL <br />