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C, <br />J <br />BUILDING <br />�Idg/TI/Addn/Rem Size <br />Ga�age Size <br />VALUATION <br />Vo, of Storics <br />Occupancy Group <br />OccupantLoad <br />3asement Ye� No <br />fype of Conslruction -. ( <br />'xstg Sp�inkief System" Y6S NO <br />�ire Sprink Reqd7 Yes _ No <br />Reason <br />:xsta Fire Aiarm? Yes _ _ �o <br />Fire Alarm <br />Reason <br />� <br />FOR OFFICE USE ONLY <br />6���o�osr <br />Yes ��o <br />Yes No <br />Yes No <br />Da:e: �-g � — ( <br />� PLANNING • <br />Zcning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Proposed No. of D�:�elling Unils: <br />Total No. of Dwellin9 Unils: <br />Lar.dscape or Planning hispection <br />�eeded before tinal? Yes No <br />Planning Inspeclor. <br />Phane #: <br />ApFroved by: Date: <br />Historic Approved by: Date: <br />School �;titigalion Reqd? Yes __ No ___ <br />Comments <br />��� <br />