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FOR OFFICE USE ONL Y <br />BUILDING <br />Gaia9e Sizc <br />VALUATION <br />No. ol Slories <br />OccupanlLoad <br />Ciasement <br />Type of Conslruclion <br />E�sf� SprinYler Sys!em� <br />Fire Sorhik Reqd7 <br />Yc; No <br />No <br />No <br />[xst9f'ueAlarm? Ves No <br />FireNarmReqd7 Yes No <br />iP1150�1 <br />Gndosurc (HC'PJo'4 55) Ve� No <br />Acnre��edbi Date. <br />fEES <br />Pemut <br />�ddihonal Plan Check <br />Valer <br />L'WBf <br />yslems Dev. Due? Yes <br />ublic 6Votks <br />riflic tAtliqdhqn Gue"� 1'cs <br />I�S_L`l�ll�[� <br />OvcrlayMgreemenl <br />Nanresidenlial Use <br />ResidenGal Use <br />Proposed FJo. of Uvielling Uclls�. <br />Tolal No. of De�elGng Units�. <br />Landscape or Planning Inspection <br />needed beforefinal? Yes No <br />Phone�. <br />Approved h�� <br />HisloritApprova� <br />School �A�unatron <br />i�mmenL <br />�lo <br />72 <br />Date: <br />Dale. <br />Ycs No <br />