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• FOR OFFICE USE ONLY <br />1��a5-o9 <br />PEHMIT NUMBER L' (��j'Z ��c� SUB-PERMITS <br />SITE ADDRESS S� �O '�_� <br />20NING <br />LOT AREA FRONT SETBACK REAR SETBACK SIDE SETHACK VACANT SITE USE ZONE HEIGHT LIMITATION <br />/ I / L(��� ��! " f Si ' � �t'L% J/ I t' � / YES NO ��i^ �LJ � <br />N0. OF DWELLING APPROVED BY DAT'e COMMENTS <br />UNITS � <br />�� �� w` "� iZ��S'��i� �; lrs����t���-i ,��� �r�✓���� ,rr�/' � � �rx� <br />c���y 7,� ���1, f "����� ��',-�i�; ; C��/% -sil/�5. <br />J <br />BUILDING <br />BLDG/T.!. SIZE GARAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />� STORIES GROUP LOAD YES NO <br />7Yl Se� �' <br />NEW FIRE SPRINKLER REASON NEW FIRE ALAHM REASON <br />REO'D REO'D <br />ENCLOSURE APPROVEDBY/ DATE COMMENTS Z��' ��G� 4i5,EC �(yJ yif�c�C <br />��{ /7—/� C' <br />VALUATION 6% �i ST PLAN CHECK FEE��iZZ l 7� �6J <br />��J h'�� . FEES <br />BUILDING --T�,�1,��,/`i'�0��( i�1, CJ CC•'� lZ � WATER <br />. /.� <br />SURCHARGE `'� SEWER <br />ADD PIAN CHK SYS. DEV. <br />PLUMBING TRAFFIC MIT. <br />MECHANICAL OTHER <br />SPFINKLE <br />PUBLIC WORKS <br />TOTAL TOTAL <br />z�Z <br />