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� � - <br />FOR OFFICE USE ONLY <br />PERMITNUMBER `q'"�V�-(�\� 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 />NO. OF DWI_LLING APPROVED BY DATE COMMENTS <br />UNITS <br />BUILDING <br />BLDG/T.l. SIZE Cf�� GARAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMEfvT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES ND <br />�- <br />NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br />RE�'D REQ'D <br />APPROVED �Y DATE COMMENTS �'X7 3 %� C � <br />�lG( 3/�/7 Z�� W.t,�� <br />VALUATION �3 I6 3 <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK FEE <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />L <br />z�Z <br />