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FOR OFFICE USE ONLY i C- Z <br />BUILDING <br />Sidgrrl/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement <br />Yes <br />No _ Fin/Unl_ <br />Type of Construction <br />Exstg Sprinkler System? <br />Yes <br />No Unk <br />Fire Sprink Reqd? <br />Yes <br />No <br />Reason <br />Exstg Fire Alarm? <br />Yes _ <br />No _ Unk <br />Fire Alarm Reqd? <br />Yes _ <br />No <br />Reason <br />CO Required? <br />Yes _ <br />No <br />Enclosure (RCJJQ,4.55) <br />Yes _ <br />Noo _ <br />Approved by' fA <br />Date: <br />— 7 <br />Comments <br />PLANNING <br />Zoning Classification <br />" l <br />Overlay/Agreement <br />Nonresidential Use <br />— ----- <br />Proposed No. of L.vellirg Units: �~ <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection / <br />needed before final? Yes No v <br />Planning Inspector: <br />Phone #: <br />Approved �Fa Date: 01 <br />Historic Approved by. — Date: <br />School Mitigation Reqd? Yes _ No <br />Comments: �— <br />Z/Z <br />