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I - y--i3 <br />FOR OFFICE USE ONLY 61.2 pb S <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />0 0 <br />Garage Size <br />VALUATION <br />No. o1 Stories <br />Occupancy Group <br />te\ " <br />Occupant Load <br />b <br />Basement <br />Yes <br />No VFinlUnf <br />Type of Construction <br />- b <br />Exstg Sprinkler System? <br />Yes <br />No Unk <br />Fire S rink Re d? <br />Yes <br />No <br />Reason <br />k <br />f Sri. <br />Exslg Fire Alarm? <br />Yes J No Unk <br />Fire Alarm Re d? <br />Yes ✓ No <br />Reason <br />b <br />5T(- <br />CO Rc ulred? <br />Yes <br />No <br />Enclosure (RC 64.55) <br />Approved by 4rr+ <br />Date: <br />Comments: <br />FEES <br />Check Fee <br />nu Permit <br />Works <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Total No. o1 Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone q. <br />Approved by: Dale: <br />Historic Approved by: Date <br />Comments. <br />qy <br />