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PER�41T NUMBER <br />SITE ADDRESS <br />C C/5G 3 C�u <br />FOR OFFICE USE ONLY <br />ZONING <br />SUB•PERMITS <br />LOT AREA FRONT SETBACK REAR SET�ACK SIDE SETBACK JACANT SITE USE ZONE HEIGHT LIMITATION <br />YES NO � � � \ � <br />� i� �� r � � �- _�J ( i, <br />N0. OF DWELLING APPROVED BY DATE COMMENTS <br />UNITS ��% C��zz���� <br />CN <br />BUILDING <br />BLDGlf.l. SIZE GARAGE 512E NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />3�� sF 3s z r-3 � � <br />NEW FIRE SPRINKLER REASON NEW FIRE AIARM REASON <br />REQ'D RE�'D <br />APPROV DBV DATE COMMENTS Z � �J �I1G � /�S�L L�(/Sy//�QC. <br />9- ►y/s <br />VALUATION � 4 `��, 3 1 / <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUM�ING <br />MFCHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />/�,��' <br />� ���� > <br />PLAN CHECK <br />FEES <br />WATER <br />SEWER <br />SYS. OEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL � 7 �� � � � _ <br />�L <br />