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� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bid /TI/Addn/Rem Size � <br />arage Size <br />VALUATION <br />No. of Stories � <br />Occupancy Group <br />Occupant Load %./ <br />Basement Yes Na in/Unf <br />Type of Construction 51 ��`� 5�J(.�(J�, <br />Exstg Sprinkler System? Yes No v Unk <br />Fire Sprink Reqd? Yes No � <br />Reason <br />Exstg Fire Alarm? Yes No ✓ Unk <br />Fire Alarm Reqd? Yes No ✓ <br />Reason <br />CO Required Yes No <br />Enclosure (R 64.55) Yes No ✓ <br />Approved b . Date: -- V <br />Comme <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Sewer <br />Systems Dev. Due? <br />Public Works <br />Traffic Mitiaation Due? <br />� t �%lJ 4�= --C= � �» <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential 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 />Yes No <br />Yes No Rcpt # <br />I Mitiqation Paid? �Yes No Date Pd <br />�/� <br />