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� <br />FOR OFFICC USE ONLY <br />BUILDING <br />�IdolTl/ACdnlHem S�ze <br />Gar;c� S�ze <br />VALUATION <br />No. of Sto�.es <br />Occu.anc Gro..o <br />Occ� ant Loac1 <br />E3asement Yes No F;nlUnf <br />Type o( Constructien <br />Exsl9 SG����kler Sys�em� YCS NO Unk <br />Fire S;mR ReCd� Yes No � <br />Reason <br />Erslq Fire Alarm? Yes No UnN�. <br />fneAla�mRe d� Yes Yo <br />Reasor <br />"crcbsure iRClNc4 55) '(es No <br />A proved b•i Ua:e <br />Cemmenls <br />� <br />