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� <br />FOR OFFICE USE ONLY <br />PERM�T NUMEER �_ (j t{ (+j(D � �_ <br />SITE AODRESS <br />ZO�ING <br />SUB-PERMITS <br />lOT AREA FRONT SETBACK REAR SETBACK SIDE SET6ACK VACANT SITE USE ZOtJE HEIGHT LIMITATIUN <br />YES NO <br />NO. OF DWELLING APPROVED BY DATE COMMENTS <br />UNITS <br />BLDGlT.I. SIZE GARAGE SIZE NO. OF <br />STORIES <br />,v� � <br />NE�' � FIRE SPRINKLER REASON <br />REU'D <br />APPRO ED BY DnTE <br />�II _ � - <br />� � <br />VALUATION <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECMANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />BUILDING <br />OCCUPANCY OCCUPANT BASEMENT 7YPE OF CONSTRUCTION <br />GROUP LOAD YES NO � <br />c/- I l ' _ <br />NEW FIRE ALARM REASON <br />RE�'D <br />COMMENTS <br />PLAN CHECK FEE <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />