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FOR OFFICE USE ONLY Q� - O � U I <br /> �13 <br /> BUILDING ZONING <br /> Ald IT I Size s� Lot Area <br /> Garege Size S S�f Front Setback <br /> VA�UATION 206 $7S� Rear Setback � <br /> No of Slories Z Side Setback <br /> ( <br /> Occu anc Grou u Vacant Sile Yes No <br /> Occupant Load Use 2one r �L <br /> Basemenl Yes No Hci hl Limilalion Q <br /> T e of Construction No. ol Dwellin Unils <br /> Fue S rink Reqd Landscape/Planning Inspection � <br /> Reason needed before 9 es No <br /> fire�larm Rr d Approved b • • Date - 2 ( 7 <br /> Reason CommeNs !/V1' ��(/11 7 <br /> CO Re uired7 � � � � . <br /> n <br /> Enclosure (RCW64S5 <br /> A roved b Date <br /> Commenls Z,�/2 /i2G' � �V.tLG <br /> FEES <br /> Plan Check Fee <br /> Bwldm Permd <br /> Surchar c <br /> Additional Plan Gheck <br /> Watcr <br /> Sewei <br /> 5 slems Oevelopmenl <br /> Publ�c Works <br /> Tral(ir.Mdi ation <br /> Olher <br /> � /� <br /> � <br />