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r <br /> FOR OFFICE USE ONLY <br /> II --'3--/t� <br /> PERMITNUM�ER ��b �_(��l,Q SUB-PERMITS <br /> SITE ADDRESS �� �w.��� �� '�� <br /> 4 5.. -��3 <br /> ZONING <br /> LCT AREA FRONT SETBACK REAR SET�ACK SIOE SETHACK VACANT SITE USE ZGNE HEIGHT IIMITATION <br /> YES NO <br /> NO.OF DWELI.IN6 APPROVED BY DATE COMMENTS <br /> UNITS <br /> BUILDING <br /> BLDG/T.I SIZE GARAGE 512E NO.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br /> . STORIES GROU� LOAD YES NO <br /> ,�1��i � � � " <br /> NEW FIRE SPRINKLER REASGN NEW FIRE 0'ARM REl�SON <br /> RE�'D REQ'D <br /> � — <br />� ENCLnSURE �PP EDBYI DAT[ COMMENTS <br /> �� lQ� <br /> VALUATION PLAN CHECK FEE <br /> FEES <br /> BUILDING __ WATER <br /> SURCHARGE SEWER <br /> ADD PIAN CHK _ SYS DEV. <br /> PLUN�ING TMFFIC MIT. _ <br /> MECHANICAL _ OTHER <br /> SPRINKLE _-. <br /> PUf31 IC WORKS _ _ <br /> TOTAL _ TOTAL — <br /> 2/z <br />