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Bt50 -©z3 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING 'n <br /> Bldg/TI/Addn/Rem Size Zoning Classification l? �'I- .! <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Stories Total No.of Dwelling Units: - <br /> Occupancy Group U Landscape or Planning Inspection <br /> Occupant Load needed before final? Yes No <br /> Basement Yes^ No Fin/Unf Planning Inspector: <br /> Type of Construction Phone#: <br /> Exstg Sprinkler System? Yes No Unk Approved Date: <br /> Fire Sprink Reqd? Yes ___ No.___.._ Historic Approved by: Date: <br /> Reason Comments: <br /> Exstg Fire Alarm? Yes No Unk <br /> Fire Alarm Reqd? Yes No <br /> Reason <br /> CO Require ? Yes No <br /> Enclosure( W64.55) <br /> Approved Date:€ - 1 - I I..Commen • J <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 t Ale 74 f�d.13• vs?e yr4e? ti -Z3 -/ S' <br /> Traffic Mitigation <br /> Other <br />