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FOR OFFICE USE ONLV 1� l'{ � ?. -031 <br /> BUILDING PLANNING <br /> 81d /TI/nddn/Rrm S•t� Lonin ClasSiGcaUon <br /> Garagr. Sne OverfaylAqrer.ment <br /> VALUATION Nonresidenl�al Use <br /> No ol Stones ResidrnUal Use <br /> Occu anc G�ou Pro oseA No ol Dwelhn Unds �, <br /> Occu ant 1 oaA lotal No of Dwell�n Unds <br /> Basemen� Ves No Fm/Unl _ Landscap¢or Planning Inspection <br /> T pe ol Conslruction needed bclore final) Yes No <br /> E.st 5 nn.le•5 stem� Yes No Unk Plannin Ins ector <br /> F�re S nnk Re A� Ves Na Phonr, a <br /> Reason A� roved b Dale <br /> Ezst Fve Aliim` Ves No Unk Histonc A roved b Date i <br /> Frre Aiarm Re d"� Ves No Sr.hooi M�U a6on Read� Ves No <br /> Reaso Eve�etl School Dis� Mukdleo Schuol pist <br /> FI1dq5Lf RCWfiA 55 Ves No HUI NPI NPW UI'd5 <br /> A rovr Date ,/ C:ilcWateA Schoo' Im att Fee <br /> Comm r L Sr.hool Im aU Fne Ged�t <br /> To�al School Im ac1 Fer Owrd <br /> ; Commcn�s <br /> � <br /> FEES <br /> f"an Cherk Fee <br /> Huddm Pe�mq <br /> Surfhar r <br /> �ddA���ona�Pl:fn Check <br /> Watei <br /> Sewrr <br /> S stems Dev Due� Ves No <br /> S strms Dev Fees <br /> Pubhc Works <br /> Tiaf6c Mili ahon Due� Yes No Rc ift <br /> S�3�oul M�li ation Fee <br /> I Z <br />