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I _ -- -------------- <br /> FOR OFFICE USE ONLY <br /> PERMIT NUMBFR C (C� I I '(j O�1 SU�-PERMITS ' <br /> SIIE ADDR[SS ----- - <br /> ZONING <br /> LOT/1REA PRONT 5[18ACK REAR SETBACK SIDE SETDACK VAYESTNO E USE ZONE HEIGHT LIM'fATION <br /> ����Z�' Z�' ' 2(' S ' I� "2 �� <br /> N0.OF OWELL�NG APPROV[D OY DAT[ COMMENTS <br /> UNI` � �I � � V " �� — <br /> ��1� - <br /> BUILDING <br /> AL�GRJ. .:IZE GAFL�G[SIZE NO.OF OCCUPANCV OCCUPANT �ASE-MENT TYPE OP CONSTRUCTION <br /> STORIflS GRO� LOAD VES NO � <br /> 2�12 S,F •�- _ <br /> N[W flRf SPRINKLER REASON N[W FlRE ALARM REASON <br /> R[Q'D REa'D <br /> [NCLOSUR[ APPIjoVED i Y Ir�T� COMh1[NTS Z✓�' � /.E�-� Z U�G W��L <br /> 1 �1_ <br /> ff'r <br /> ���_ <br /> VALUATION 2� 44P� PLAN CIIECK P[E <br /> FEES <br /> F3UILDING —__ ___ WATfR . — <br /> SURCHARGE SEW[R — <br /> ADD PIAN CHK SVS.DEV. <br /> PLUMOING _ TfiAFFIC h11T. __ <br /> Mf_CHANICAL UTH[R ___ <br /> :PRINKLf <br /> ! UBLIC WORKS I <br /> � <br /> TOTAL _--------- <br /> TOTAL � <br />