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c � � <br /> Descripdon of work condnur;d: <br /> 51a� a-��� ► <br /> � �ty�iZ <br /> oa a � <br /> FOR OFFICE USE ONLY <br /> BUILDING ZONING <br /> VALUATI ON Lot Area <br /> Bld /T.I. Size Front Setback <br /> Gara e Size Rear Setback .�✓A <br /> Na.of Stories Side Setback / v , <br /> Basement Yes No Vacant Site Yes No <br /> T e of Construciton He1 ht Limitation 2� a � °� 5�C`� <br /> Occu an Grou Use Zone C � / <br /> Occu ant Loat No.of Dwell ni /`�A <br /> Fire S rinkler Re 'd A roved b Date •�D <br /> Reason Comments: <br /> Fire Alartn Re 'd <br /> Reason <br /> A roved b Dale - � 7- <br /> Comments: <br /> FEES <br /> Plan Chedc Fee <br /> Bufldfn Permit <br /> Surchar e <br /> Additfanal Plan Check <br /> Weter _ _ . _ <br /> Sewer <br /> S s. Develo ment <br /> Public Wo�ks <br /> Tra(flc Mitl atbn <br /> Other <br /> �� <br />