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FOR OFFICE USE ONLY <br />(O-8 �� <br />PERMIT NUMBER - � _ -� SUB-PERN�ITS <br />SITE ADDRESS � �� � �� <br />�,�.��jt <br />� ����� D <br />�) <br />�� <br />,,., � <br />ZONING ; �� �-� �� -�/ % � <br />LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMIT�TION <br />�f UC��% �•� / v � YES NO �_ / ��� ; <br />�/ I <br />NO.JFDWELLING� APPROV �BY DATE COMMENTS <br />UNITS �"� � ' ' <br />�� 'r� i 1 -� �• � �J �c7 <br />BUILDING <br />BLOG/T.I. SIZE GARAGE SIZE NO. 0� OCCUPANCY OCCUPANT BASEM'eNT TYPE OF CONSTRUCTION <br />p��Ol7 SF ,_, STORIES GROUP LOAD YES NO <br />��oos � B a �rr� <br />NEW FIRE SPRI�KLER REASON NEW FIRE ALARM RcASON <br />r�r�D jJ� ��oD�a �1' RE�'D �� �bpOo JF <br />APPROVEDBY DATE COMMENTS <br />MN �(a2/D7 S��SEL1 �� Ft�l.1� INS�FG?(Jr��G�Nb� 4�" USf <br />VALUATION <br />9UILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHAIJICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK FEE f"" `" 7"� ��G �d <br />FEES � / ����n,� <br />vVATER ��/ i(J VP �C'N•�i.L� "t(J`�%�� <br />� �J� I L <br />SEWER / (.�`'C.;t' �iC <br />SYS. DEV. /� � � <br />TRAFFICMIT. �/l�UJ � <br />OTHER <br />TOTAL <br />