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. � • <br /> , /O�� `iy <br /> • FOR OFFICE USE ONLY ��y����3 <br /> BUILDING PLANNING <br /> BIA /TliAdtlnlRem S�zr lonin Ciass�hcaLon u-V <br /> Garage S�ie OveriayMqreemenl <br /> VALUATION Nnnresidr.nl��l Use �-�'-+��1 L <br /> No o�Slones Residenli�� Usa <br /> Ocai anc G�ou Prn osed No o!Owellin Unds <br /> Occu anl I.oad lolal 1Jo ol pwell�nn Unds <br /> Basement Vr.s No Fm/Un� landscape or Plamm�g Inspechon <br /> 'ypr o�ConsVuU�on needed before final7 Yns No� <br /> Erst 5 n�kie�5 stem� Ves No Unk Plannm In; Nctu� <br /> Fue S nnk Rr. d� Ves No Phone N <br /> Reason � roveA b Date � • •I <br /> Fxst f nr, Alarm� Ves No Unk H��slonc A roveU b Date <br /> Fre Ati,m Re� d� �es No Schoul Mdi abon Rec d� Ves No <br /> Reason F-verell School Disl bt,�kiltea Sc�oo� O�st <br /> [ndos�re .W64 55 Vrs Nn p of Nel New Unds <br /> A vrnrA b D:dN �� � i � CaIcW.Irtl School Im ad �ee <br /> Co��mert Schoo� Im acl Fee Cretld <br /> Total Schnol Im ar.l Fpe Owetl <br /> Cam��rMs <br /> FEES <br /> ri,�, r.i,P��k n,c <br /> Hwictm rerm�l <br /> Surch�rge <br /> Add�Lonal Pl;m Check <br /> Waler <br /> Sewe� <br /> 5 slemtiDev Due"� Ve, Nn <br /> S slems Dev fees <br /> Publir.Works <br /> i�afhc M�I� aUon Due' Ves No Rr it u <br /> Srhool Mdiqadon Fee <br />