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FOR OFFICE USE ONLY <br /> BUILDING4-1-L- <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories \ Proposed No. of Dwelling Units: <br /> Occupancy Group 1) Total No. of Dwelling Units: <br /> Occupant Load \ / Landscape or Planning Inspection <br /> Basement Yes_ Non/Unf needed before final? Yes No <br /> Type of Construction V.— /3 Planning Inspector: <br /> Exstg Sprinkler System? Yes_ No t/U,nk Phone#: <br /> Fire Sprink Reqd? Yes_ No ✓ Approved by: Date: <br /> Reason Historic Approved by: Date: <br /> Exstg Fire Alarm? Yes No V Unk School Mitigation Reqd? Yes No <br /> Fire Alarm Reqd? Yes_ No I/ Comments: <br /> Reason V- / � , <br /> CO Required?, Yes_ No ROA. O' '62(j 1 <br /> Enclosure (RC,4•.55) Yes No <br /> Approved •y 4 Date: r I .-9.7— 13 <br /> Commen <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <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 />