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� � <br /> FOR OFFICE USE ONLY C � 3 � Z_�` <br /> BUILDING PLANNING <br /> Uidg/TI/AddNRem S�.ze ��lS7U Zoning Classificalion <br /> Gara9e S�ze OvertaylAgieement <br /> VALUATION �o�� Nonre>:dential Use <br /> No. of Stories / Proposed No of Dweiling Units <br /> Occupancy Group � Total No c(Dwelling Unds� <br /> Occupant Load Landscape or Pianning Inspection <br /> Aasemem Yes No J� FmiUnf needed betore final? Yes No __ <br /> Type of Conslruction JZL� Plann�n9 Inspe�lor <br /> Ecstg Spnni'�er Syslem� Yes No Unk Phone#� <br /> Fire Spr�nk Reqd7 Yes No_. Approved by. Date� <br /> Reason Hisloric Approved Cy. Date� <br /> Exstg Fue Plarm? Yes No Unk School hlitigz�ion Reqd� Yes _ No__ <br /> Fire Alarm Reqd� Yes _ No__ Ce:nments� � <br /> Reason � I <br /> CC Required? Yes __ No Plann in� ��01 re� G� <br /> Enclosure (RC'lJ6a 55) Yes No <br /> Approved by Date /"Z !2 <br /> Comments 2,��t /Re <br /> FEES <br /> Plan Check fee <br /> E3utltling Permit <br /> Surcharge <br /> Adddional Plan Check <br /> Waler <br /> S�vrer <br /> Systems Dev Due? Yes No <br /> Pubht Works <br /> Traffic Mdigation Due? Yes No Rcpt# <br /> Schooi LLtigation Paid7 Yes_ No __ Date Pd <br /> . . . . - - - - - -� � -- ?.17i. . <br />