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�- -- -- -- - <br /> I <br /> FOR OFFICE USE ONLY <br /> I <br /> iPERMIT NUMBER �jD 3Q� ' O_a a _ _ _ SUB-PERMITS <br /> � SITE ADDRESS . <br /> i <br /> II <br /> iZONING <br /> � LOT AREA FRONT SETBACK REAR SETBACK SIDE SFTBACH VACANT SITE USE ZONE HEIGHT LIMITATION <br /> LD / � � C� � YES NO Q I I S / <br /> J l�\ <br /> N0.OF DWELLING APPR VED�Y DATE COMMENTS 1 <br /> UNITS <br /> I � ti�� 3 S � r�� • <br /> BUILDING <br /> BLDG/T.I.SIZE GARAGE S12E NO.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO <br /> 5�6 s,a i U-i - <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASUN <br /> REO'D REO'D <br /> I APPROVE Y DATE COMMENTS �q9� UB�- <br /> � � /93 <br /> I VAI_UATION I 3� S 3 � PLAN CHECK FEc I��I -J I <br /> FEES <br /> i BUILDING _ _ WATER <br /> I Sl1RCHARGE SEWER __ <br /> ADD PLAN CHK SYS.DEV. _ <br /> '. PLUMBING TRAFFIC MIT, <br /> �� MECHANICAL OTHER <br /> . SPRINKLE _ <br /> PUBUC WORKS _ <br /> TOTAL TOTAL <br /> i <br /> � <br /> �J I <br />