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- — -� �. <br /> FOR OFFICE USE ONLY <br /> PERMITNUh1BER ��o3-oya SUB-PERMITS <br /> SITE ADDRESS � <br /> ZOIVING <br /> LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZONE HEIGHI�LIMITATION <br /> � O O � �. YES NO � C i <br /> , � J <br /> N0.OF DWELLING APP OVED BY DATE COMMENTS <br /> UNITS <br /> � -. '�,�� o SE 1'A o 3 �O S`l /2e,..L� 3 - o lo <br /> BUILDING <br /> BL�GR.I.512E GARAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br /> �v �I`f E3 STORIES GROUP LOAD YES NO � <br /> T110 ✓� '1� <br /> NEVJ FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> RE�'D 7 �% r/ �� REQ'D�I�S O�Z O . <br /> / <br /> APPRO ED BY DATE COMMENTS <br /> ;' h y _ � - 5��F..L..L A�-2 ri / j" <br /> VALUATION. i/`� � . I S V PLAN CHECK FEE Z IO ��//i 7'�J <br /> �� ,Yvo � <br /> FEES '_ � �� �zoo <br /> , ` �29:G 9 "� <br /> BUILDING /L/�D�n<h���A� '- WATER /- '�1'��i ne ,�.'� 2-3/ ~ • <br /> � y SG�i/t� S <br /> SURCHARGE �7�SD SEWER ��(Ji�D <br /> ADD PLAN CHK SYS.DEV. � . � �j� <br /> PLUMBING TRAFFIC MIL �j(.VD � <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> 'q r <br /> PUBLIC WORKS I � � -. v � <br /> TOTAL TOTAL <br /> I <br /> /1 <br />