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i <br />PERMIT NUMBER ,Bpac�s -o� � <br />SITE ADDRcSS <br />ZONING <br />LOT AREA FRONT SETBACK REAR SETBACn SIDE SETBACK <br />� �J�M I$� <br />s z� i '� s ti�,�� s <br />NO. OF DWELLiNG APPROVED BY DATE COMMENTS <br />UNITS ' Cl� � 5.7i �OZ <br />C�I <br />BLDG/T.I. SIZE I S���o�ZM I S ORIES <br />NEW FIRE SPRINKLER I REASON <br />REO'D <br />4 <br />SUB-PEFMITS <br />VACANT SITE <br />YES NO <br />BUILDING <br />OCCUPANCY OCCUPANT <br />GROUP LOAD <br />V-/ <br />qPPROVED Y DATE ICOMMENTS <br />Sl3a/2 <br />VALUATION 2 3�8 <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHANiCAL <br />SPRINKLE <br />PUBLIC WORKS <br />TGTAL <br />USEZONE I HEIGHTLIMIT.ATION <br />i <br />12-Z i S <br />BASEMENT TYPE OFCONSTRUCTION <br />YES NO <br />r� �a� � �/� <br />NEW FIRE ALARM REASON <br />REa'D <br />PLAN CHECK FEE �I / i " � <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. _ <br />OTHEP <br />TOTAL <br />ala <br />