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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldgiyl/Addn/Rem Size 500 Zoning Classification \ 3 <br /> Garage Size Overlay/Agreement <br /> VALUATIONIIIIIIIIIIIIIIII Nonresidential Use SC_^(\\C.)XCQ)(\-U.r <br /> No.of Stories ) Proposed No.of Dwelling Units: <br /> Occupancy Group A -3 Total No.of Dwelling Units: <br /> Occupant Load /3 Landscape or Planning In •-ction <br /> Basement Yes ✓ No_Fin/Unf needed before fin- . Yes_ No <br /> Type of Construction I 1 1 '_ A Planning I .-ctor: <br /> Exstg i3prinkler System? Yes V No_Unk P - e#: <br /> Fire Swink Reqd? Yes No Approved by: ? Date: 9 /113( IS <br /> Reason .1(% is one •.. :•:. • • Date: <br /> Exstg =ire Alarm? Yes_t/ No_Unk_ School Mitigation Reqd? Yes— No / <br /> I Fire Alarm Reqd? Yes No_ Comments:rr <br /> Reason L�+ CvVV1 ('\CtC- <br /> OO Required? Yes_ No\./ <br /> Enclosure(RC 64.55) Yes No...I <br /> Approv:d by: ntet Date:, J__ <br /> Comments'/ � i <br /> ,lra, _ i � <br /> • <br /> • <br /> FEES -4 '161" 5i, <br /> Plan Check Fee d 4 01 r g_ <br /> Al -1 <br /> Building Permit0`e <br /> Surcharge Pt4) <br /> Additional Plan Check �' 'J ' <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No • <br /> Public Works <br /> Traffic Mitigation Due? Yes No_ Rcpt# <br /> School Mitigation Paid? Yes— No_ Date Pd <br />