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n <br />FOR OFFICE USE ONLY <br />�z-►_o� <br />PERMIT NUMBER ' - (� SUR-PERMITS <br />SITE ADDRESS 1 Q J � �� � � �� <br />LOT AREA FRONT SETBACK REAR SETBACK <br />�'�`� 2� '2 � <br />N0. OF DWELLING APPROVED BY DATE <br />�"�TS 1 �,.� c tl ��/og � <br />ZONING <br />SIDE SETBACIS <br />COMMENTS <br />BUILDING <br />VACANT SITE USE ZONE HEIGHT LIMITATION <br />YES NO /� � 2�/� <br />.y�-, K a <br />BLDG/T.L SIZE GARAGE SIZE NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />� q�,r s/ 6�S s,F 2 2�l b' <br />NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br />REQ'D REQ'D <br />APPROVEDBY_, DATE COMMENTS ZUr%�O /QC, (9/S�C � �S✓/A(�G <br />��f' a � <br />VALUATION 3/Z, 97� <br />�UILDING <br />SURCHARGE <br />A�D PLAN CHK <br />PLUMBING <br />AIECHANICAL <br />SPRINKLE <br />PU�LIC WORKS <br />TOTAL <br />PLAN CHECK <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />