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FOi2 OFFICE USE ONLY <br /> PERMIT NUMBER � Q��� �— (�3 � SUB-PERMITS <br /> SITE ADDRESS <br /> ZONING <br /> LOT AREA FRONT SETBHCK REAR SETBACK SIDc SETRACK VAGANT SITE USE ZONE HEIGHT LIMITATIOIJ <br /> VES IJO <br /> NO.OF DWELLING APPROVED BY DATE COMMENTS <br /> UNITS <br /> SUILDING <br /> 4LDG/T.L SIZE GAFiAGE SIZE NO.OF OCCUPANCI ,�OCCUPANT BASEMENT TVPE OF CONSTRUCTION <br /> STORI[S GR UP LOAD YES NO <br /> i�13t �Sd s ,r R - 3lM !o �� <br /> NEW FIRE SPRINKLER REASON L�� (�, IJEW FIRE ALhRId REASON � Q'O A—{(). Q <br /> REQ'0 T��� r�� J � �.{ a�JL � � IISE REO'D ' rO NO CF+PM�CK CX VSE <br /> ��� N <br /> APPROVED UY DATE COMMEIJTS / e'` �7 <br /> �1� � 23/0� 6Rtia�E SEPM��PrtE S'tlWc'lv,�E ��� D <br /> N <br /> VALUATION PLAN CHECK FEE <br /> FEES <br /> OUILDING WPTER <br /> �URCHARGE SEWER _ <br /> ADD PLAN CHK _ SYS.DEV. <br /> PLUMBING _ TRAFFIC MIT. . <br /> MECHANICAL OTHER <br /> I <br /> SPRINKLE <br /> PU6LIC WORKS <br /> �I TOTAL TOTAL <br /> I ��z <br /> � <br /> � _ _ - <br />