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FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size �"'� <br />Garage Size <br />VALUATION <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 yC. <br />Exstg Fire Alarm? Yes 1% No Unk <br />Fire Alarm Reqd? Yes ✓ No <br />Reason _�� <br />Enclosure (R 4.55) Yes No _� <br />Approved by Date: •► <br />Comment <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes <br />Public Works <br />Traffic Mitiqation Due? Yes <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Comments: <br />G� �'✓( ✓� <br />��I `� � ��� � <br />� <br />� <br />No Rcpt # <br />