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FOR OFF/CE USE ONLY 3`a 6—�c{ <br /> �I �02-0� f <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size Zoning Classi6cation <br /> Garage Sizc Overlay/Agreemenl <br /> VALUATION Nonresidenlial Use <br /> No.of Stories Proposed No. ot Dwelling Units: <br /> Occupancy Group Total No. ol Dwelling Unils: <br /> Occupant Load Landscape or Planning Inspection <br /> �asement Yes No_finlUnl_ needed before finall Yes_ No_ <br /> Type of Conslruction � (t00 Planning In,pedor: <br /> Exstg Sprinkler System? Yes No Unk_ Phone#: <br /> Fire Sprink Re d? Yes_ No Approved by: Dala <br /> Reason Hrstoric Approved by: Datc: <br /> Exstg Fire Alarm? Yes No Unk_ School Mitigalion Reqd? Yes_ No_ <br /> Firc Na«n Reqd? Yes_ No_ Commenls: <br /> Reason <br /> CO Requimd Yes_ No_ <br /> [nclosure (R G4.56) Yes__ IJo <br /> �pproved b . � Date:� .. �� <br /> Comments: <br /> FEES <br /> Pian Check Fee <br /> 13uildinq Permit <br /> Surch:�rge <br /> Additional Plan Check <br /> Waler <br /> Sewcr <br /> Syslems Dev. Due7 Yes _ No _ <br /> Public Works <br /> Traffic Mitigalion Due7 Yes No Rcpl J7 ._____ <br /> School Miligation Paid? Yes__ No Dale Pd _ <br /> L-I� <br /> � <br />