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FOR OFFICE USE ONLY <br />� � � -�-�5 <br />PERMITNUMBER Lpc%�;h—(�3�j SUB-PERMITS <br />SITE ADDRESS � \`� ��� � � � � <br />LOT AREA FRONT SETBACK REAR SETBACK <br />' 2�' Z a <br />NO. OF DWELLING APPROVED BY DATE <br />UNITS . r1� . , � � � <br />ZONING <br />SIDE SETBACK <br />�/ <br />COMMENTS <br />BUILDING <br />VACANT SITE USE 20NE HEIGHT LIh11TATION <br />YE�S'NfO, � / �� � <br />_ <br />VALUATION I3 ] i 9 /4 <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUA181NG <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK FEE <br />FEES >: � //C// � � <br />� � <br />WATER LL Y b�� -3 � ��' � ,�- � d <br />SEWER <br />SVS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />2/ � <br />