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FOR OFFICE USE ONLY <br /> BUILDING c' PLANNING <br /> Bldg/TI/Addn/Rem Size 1 U(1 Zoning Classification (-- -1 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use N <br /> No. of Stories ,Z Total No. of Dwelling Units: <br /> Occupancy Group Landscape or Planning Inspection <br /> Occupant Load 1„ \ needed before final? Yes_ No <br /> Basement Yes_ No V Fin/Unf Planning Inspector: <br /> Type of Construction kV It - A Phone#: <br /> Exstg Sprinkler System? Yes V No_Unk Approved by: .i `--� Date: i Z •(7 1 3 <br /> Fire Sprink Reqd? Yes ✓ No_ Historic Approved by: Date: <br /> Reason Comments: <br /> ,/ <br /> Exstg Fire Alarm? Yes V, / No_Unk <br /> Fire Alarm Reqd? Yes 1/ No <br /> Reason <br /> CO Required? Yes_ No V <br /> Enclosure (R 64.55) <br /> Approved by: Date: ' ap -13 <br /> Comments: <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 <br /> Traffic Mitigation <br /> Other <br />