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$w i3oz oa� <br /> FOR OFFICE USE ONLY <br /> BUILDING ZONING <br /> Bld . iz ��/(„ J.% Lol Aree I� <br /> Gerege Size <br /> Front Setback ��7 �— /�� <br /> VALUATION 2/ Rear Setbeck �� <br /> � � . 11 <br /> No.of Stories Side Setback <br /> Occu enc Grou (.� Vacant Sita Yes No <br /> Occu ent Loed Use Zone <br /> Besement Yea No Hel ht Limiletion <br /> � <br /> 'f e of Conslrudion No.ol Dwelfn Units � ��� G'�-+� <br /> Fire S rink Re d Landecepe I PNnning Inepeclion <br /> Reason needed befoie tl 19 Yes No� <br /> Fire,41artn Re d A roved b � Date 7i 7i2 <br /> Reason Comments�, <br /> CORe uired7 �C,�,7����1��(��'I —I <br /> Enclosure(RCW64.5 _ 1 <br /> A roved b DeteQ / /3 <br /> Commenls�. �j�9 //�C <br /> FEES <br /> Plen Check Fee <br /> Building Permi� <br /> Surchar e <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> S stems Develo menl <br /> Public Works <br /> Traffic Mili ation <br /> Other <br /> ZI L. <br /> J <br />