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• • (1'l c io q�ct E' <br /> . a-6 -/z, <br /> �escription of work continucd: <br /> FOR OFFICE USE ONLY <br /> BUILDING ZONING <br /> VALUATION Lot Area <br /> BIdgR I. Srze Front Sctback <br /> Garage S�ze Rear Setback <br /> �Jo.of Stories Side Selback <br /> Basement Yes No Va[ant Site Yes_. No_ <br /> fype of Cons}ruclfon Hcight Limitation <br /> Occupancy Group Use Zone <br /> Occupant load No. of Dwelling Umts <br /> F�re Spiinkler f2eq'd Approved by Date <br /> Kr.ason Commenls: <br /> Fnc Alarm Req' <br /> Reason <br /> �pproved by Dale - i 7 " � <br /> Comment . <br /> ----- -- - ---- FEES <br /> Plan Check Fee <br /> Bwldmg Peimil _ <br /> Surchar�e <br /> Adddiona�Plan Check <br /> wa��� <br /> seWe� <br /> Sys. Development <br /> Public Works <br /> Traflic Miligation <br /> Other _. �� <br /> L <br />