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FOR OFF/CE USE ONLY m �30� S� <br /> �7-/O-i3 <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size Zonin Classifcation <br /> Garage Size OverlaylAgreement <br /> VALUATION Nonresidential Use <br /> No.ot Slories Tctal No.of Dwel�in Unils: <br /> Occu enc Grou Landscape or Pla�ning Inapectlon <br /> Occu ant Load needed before flnal7 Yes No <br /> Besement Yes No FlnlUnf Plannin Ins ector: <br /> T e oi Construclion Phono#: <br /> eKstg Sprinkier System7 Yes No Unk A roved b : Date: <br /> Fire S rink Reod7 Yes No Historic A roved b : Date: <br /> Reason Comments: <br /> Exst Fire Alarm? Yes No Unk /�, <br /> Fire Alarm Re d7 Yes No �t /��y; � �//�� /', <br /> Reason v <br /> CO Re uired? Yes No <br /> Enclasure RC 64.55) <br /> A roved b Date: — <br /> Comment <br /> FEES <br /> Plan Check Fee <br /> Buildin Permi� <br /> Surchar e <br /> �dditional Plan Check <br /> Water <br /> Sewer <br /> S stems Develo menl <br /> Public Worhs <br /> Treffic Mili elion <br /> Other <br /> �� <br />