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(_ <br /> FOR OFFICE USE ONLY <br /> PERMITNUMBER Lp� p�j(���j SUB-PERMITS <br /> SITE ADDRESS . <br /> ZONING <br /> LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br /> J:�"�<,[.,t},- •^7 C� r �� � YES NO � �,/ncr �? � � <br /> i <br /> �N �>` ��-- (� Sc' <br /> N0.OF DWELLING APPROVED BY DATE COMMENTS <br /> UNITS � �1 n'(� }a J/y/O 7 <br /> � �� IJ �� � <br /> BUILDING <br /> BLDG(f.l.SIZE GARAGE SIZE N0.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br /> STORI[5 GROUP LOAD YES NO <br /> �C151�C:a 57c� S F. Z 12 U <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> REQ'D REQ'D <br /> APPROVED�Y DATE COMMENTS 2(�3 I�G <br /> 1 !� s ��v <br /> ��P <br /> VALUATION �P, U 7 3 PLAN CHECK FEE <br /> i'l <br /> FEES <br /> BUILDING WATER <br /> SURCHARGE SC-WER <br /> ADD PLHN CHK SYS.DEV. <br /> P�UMBING TRAFFIC htlT. <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> PUBLIC WORKS <br /> TOTAL TOTAL <br /> ��z <br />