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� � FOR OFFICE USE ONLY � <br /> PERMIT NUMBER ���v--Q1�{ SUB-PERMITS <br /> SITE ADDRESS <br /> ZONING <br /> LOT AREl1 N FRONT SETBACK REAR SET�ACK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br /> .C�UlV,( ZJ � � � j ! YES NO �' � �i � � <br /> N0. OF DVJELUNG APPROVED DY DATE COMMENTS S�f (�}tt-- FyN L(E tF GLt'T hR41� SL6N�� <br /> uNrrs Ta 3� vvtc.� A-t,oN6 �Nnr+� z.5' 9rvTSkC� <br /> -(� ---'-,��/ `� /�f)� .v. P �` S�.oP7E — <br /> �R6�Qv(L'b5 �Fs Lo2D Pkp G2�t'��<- �-(L�/�' COV� I�•..�� <br /> ���Xt-�'L �1��. �M� i <br /> BUILDING <br /> BLDG/T.I.SIZE GARAGE SIZ[ NO.OF OCCUPANCY OCCUPANT �ASEMENT TYPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO <br /> 3a S � 3J SF �L 2/u u <br /> NEW FIRE SPRINKL[R R[ASON NEW FIRE ALARM REASON <br /> REQ'D REQ'D <br /> EKCLOSURE APPROVEDBY! DAT[ COMMENTS `L `Jp(ca ��C WSt.�- � �Sl/i/�,QC <br /> � �7/z�1�0 <br /> VALUATION �O� q L7 S PLAN CIIECK FEE <br /> FEES <br /> I3UILDING WAT[R <br /> SURCHARGE SEWER <br /> ADD PLAN CHK SYS.DEV. <br /> PLUMBING TRAFFIC MIT. <br /> MECHANIG�L OTHER <br /> SPRINKLE <br /> PUBLIC WORKS <br /> TOTAL TOTAL <br /> �/2 <br />