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FOR OFFICE USE ONLY <br />lU1i �rclkol d -)Mg WGn — A& a ` V <br />V BUILDING <br />Bid .rr.l. Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement <br />Yes _ No <br />Type of Construction <br />Fire Sprink Reqd <br />Reason <br />Fire Alarm Reqd <br />Reason <br />CO Required? <br />Enclosure (R 54.55) <br />Approved b ; Date - U-J7 <br />Comments <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Development <br />Public Works <br />Traffic Mitigation <br />c <br />ZONING <br />Lot Area <br />Front Setback <br />Rear Setback <br />Side Setback <br />Vacant Site <br />Yes _ No -- <br />Use Zone <br />Hei hl Limitation <br />No. of Dwelling Units <br />Landscape / Planning Inspection <br />needed before final? Yes_ No <br />Approved by Date <br />Comments: <br />