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^ �� � � <br /> FOR OFFICE USE 0(VLY J � �d � "O0 Z <br /> BUILDING PIANNING � � <br /> G!d�;/TI,'Addr/i2cm 9zc Zcc'rq Cas;�f.c::t�on /�j_3��•—. <br /> Garage Size Oveday/Agreement <br /> VALUA710N PJonresidential Use r/ <br /> tCo.o(S;aries Frop�sed No.otDweiling Ur,ils: _� <br /> Cccuparcy Group Total No.of D�veiling Units: � <br /> Cr_upanl Load Landscapc or P�aneing In,peciion <br /> ?:sement Yes No Fin/Urf nceded hefore final7 Yes No <br /> Type of Consiruclion Pla�ning inspector: <br /> t_.sa3 Spnnkier Sya!em't Yes tJo_Unk PLcn�t!: <br /> Fire Sprink Reqd7 Yes_ No_ Approved by: lJate� 5 �l <br /> t <br /> Reason H sforic Acpra�ed by: Date: <br /> [rslgFireA�artn7 Yes No Unk__ Schoc�:'Nna;icnReqd9Yes_ Wo__ <br /> Fire Alarm Re d? Yes No Commenis:wT{�}'Te EAt� ;p <br /> Reason � � DP�Q,+/�� LY�iw/ <br /> CO Required7 Yes_ No __ �v+`P'fi'� � lp (�-p Z-.p �j� <br /> E-nelcsure(RCIi'64.55) Yes_ No _ ��L t,�y, ��y.y� <br /> hpprovedby: /Y�,�- Date: 9� � <br /> Ccmmenfs: ' <br /> —1 <br /> FEES <br /> Plan Check(=ec <br /> P,u�Jdmp Permd <br /> Surchaiye <br /> Adddional Plan Check <br /> V✓atcr <br /> Srwer <br /> Systems Oev. Due7 Yes No . <br /> Pub!ic VPorks - <br /> Tra`fic 6'ifgation Due7 Yes fJo Rcpl� <br /> � School I�liligalion Paid7 Yes_ No Date Pd <br /> � �� <br /> ? <br />