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� s <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> � Bldg/Tl/Addn/Rem Size Zoning Ctassification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Slories Total No.ot Dwelling Units: <br /> Occupanc Group Landscape or Planning Inspection / � <br /> Occupanl Laad � needed before flnal4 Yes_ t�o_ <br /> Basement Yes �No_FinfUnf _ Plannin Ins ector: � <br /> T pe nf Construction � . Phone p: � <br /> � � <br /> EKstg Sprinkier Syslem7 Yes No Unk_ A proved b : Date: <br /> Fire S rink Reqd? Yes No� Historic Approved by: �Date: <br /> Reason � Commenis: <br /> Ezstg Fire Alarm7 Yes No �Unk <br /> Fire Alarm Re d? Yes Na � <br /> Reason \ <br /> CO Re uired7 Yes No � <br /> Enclosure(RCVY64.55) � <br /> Ap roved b Date: � <br /> CommeNs: \/ <br /> / � <br /> � <br /> � <br /> FEES <br /> Plan Check�F�ee � <br /> Buiidin ermit <br /> Surcharge <br /> ditional Plan Check <br /> Water <br /> Sewer <br /> S slems Development � <br /> � Public Works � <br /> TraKc Mit� ation \ <br /> Olher � <br /> \ <br />