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BUf DING <br />F31dg/il/ Addn Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occuoancy Group <br />OccupantLoad <br />Basement Yes _ No <br />� <br />rvoe ot Construction ' � � ( <br />Exs�g Sprinkler System� Yes _ ND <br />Fire Sprink Reqd Yes _ No <br />Reason <br />Cxstg Fire Alarm? Yes _ No <br />Fire Alarm Reqd � Yes _ No <br />Reason <br />CO Required7� <br />Commenis: <br />%� 1— Date � - <br />FOR OFFICE USE ONLY <br />I� i 3 � �-vz� <br />3_s-�3 <br />ZONING <br />Lot Area <br />Fwnt Selback <br />Rear Selback <br />Side Setback <br />Vacant Sile Yes No _ <br />Use Zone <br />Height Limitation <br />No. of Dwelling Unils <br />Landscape / Planning Inspection <br />needed before final7 Yes No _ <br />Historical Overlay Zone7 Yes No _ <br />Approved by Date <br />Commenis: <br />