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�('s� Z-oo5 <br /> FOR OFFICE USE ONLY 3 �-1� '�S _ <br /> /3Q! �-� �eQn,✓ <br /> BUILDING PLANNING <br /> Bld /TI/AddnlRem Sizc �7L 7_onin9 Classification \�- 3 <br /> Garage Size Oveday/Agreement <br /> VALUATION Nonresidential Use vm <br /> No.of Stories � Residenlial Use <br /> Occupancy Group M lJ Preposed No. of Dwelling Units: <br /> Occupant Load 1 Total No ol Dwelling Units: <br /> 6asement Yes No FinlUnf Landscape or Planning I ection <br /> Typc of Construction � /+ needed befare fin . Yes No <br /> E■sig Sprmkler System� Yes No Unk Planning In ctor: <br /> Fire Sprink Reqd? Yes No ✓ Ph tt�. <br /> Reason Approved by. Date: �j <br /> Exslg Fire Alarm? Yes No Unk Historic Approved by: Dale�. <br /> Fire Alarm Reqd? Yes No� School Mi�igation Reqd� Yes <br /> Reason EvereU School Dist iitco School Dist <br /> [nclosure (RC 6455) Yes No #of Net New Units' <br /> Approved by: Date � Calculaled S ol Impact Fce�. <br /> Comments�.' � School pact Fee Credit. <br /> T I School Impact Fee Owed: <br /> Comments: <br /> FEES <br /> Plan Check Pee <br /> Building Permit <br /> Surchargc <br /> AAditional Plan Check <br /> Watcr <br /> Sewer <br /> Systems Dev Due? Yes_ No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation �ue? Yes No Rcpt# <br /> School Mitigation Fee <br /> �Z <br />