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� <br /> FOR OFFICE USE ONLY <br /> PERMIT NUMBER 5�,�}(j(a —OL C� SUB-PERMITS <br /> SITE ADDRESS <br /> ZONING <br /> LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br /> YES NO <br /> � <br /> N0.OF DWELLING APPRO D BY DATE COMMENTS <br /> UNITS <br /> � L <br /> BUILDING <br /> BLDG/T.I.SIZE GAR4GE SIZE I N0.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> 'RE�'D REQ'D <br /> APPROVED BY DATE COMMENTS <br /> �L � �� �� <br /> VALUATION PLAN CHECK FEE <br /> FEES <br /> BUILDING WATER <br /> SURCHARGE SEWER <br /> ADD PLAN CHK SYS.DEV. <br /> PLUMBIMG TRAFFIC MIT. <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> PUBLIC WORKS <br /> TOTAL TOTAL <br /> I � <br />