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FOR OFFICE USE ONLY <br />PERMIT NUMBER CC�S US - GU� <br />SITE ADDRESS <br />SUB-PERMITS <br />ZONING <br />LOT AREA FRONT SETBACK REAR SETBACK SIDE SETOACK VACANT SITE USE ZONE HEIGHT LIMII'ATION <br />� � YES NO � <br />L' �C' Z(., � � �� ( Zfs <br />NO. OF DWELLING APPROVED BY DATE COMMENTS <br />UNITS - - <br />�%Jl��' 7 i7 � � ?c. �# ;c.�:' <br />IBLDG/f.l. SIZE I GARAGE SIZE I STOR ES <br />I NEW FIRE SPRINKLER REASON <br />REQ'D <br />BUILDING <br />OCCUPANCY OCCUPANT BASEMENT � TYPE OF CONSTRUCTION <br />GROUP LOAD YES NO <br />�� <br />NEW FIRE ALARM REASON <br />RE�'D <br />DATE ICOMMENTS <br />VALUATION �.Syi �I3 <br />�UILDING <br />SURCHARGE <br />ADD PLAN CHK LC ' , ��( <br />I'LUh1BING <br />61ECHANICAL <br />SPRI�JKLE <br />PUOLIC WORKS <br />TOTAL _ <br />PLAN CHECK <br />FEES <br />WATER <br />SEW ER <br />SYS. DEV. <br />TRAPFIC MIT. <br />OTHER <br />TOTAL <br />f} Q L' <br />