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FOR OFFICE USE ONLY <br /> PERMITNUMBER f�CJ��('•�_(7�2 G SUB-PERMITS <br /> SITE ADDRESS ��-� � `' C��� .a ���-�� �� U E-� <br /> ZONING <br /> LOT AftEA rkONT SETBACK REAR SETBACK SIGc SETBACK VACANT SITE I USE ZONE HEIGHT LIMITATION <br /> / � � I � YES NO f <br /> ��n�,� � � �' � 3 � _ 3 � �D <br /> NO.OF DWELLING APPROVED�Y DATE CO�db�ENTS <br /> UNITS/ <�UNv/V�ru� �� � `V" � l. V D 'v" I <br /> � % � �'� 1 �� ��, . <br /> ' BUILDING <br /> BIDG/T.1.SIZE GARAGE SIZE IJO.OF OCCUPANCY OCCUPAt1T DASEMENT TYPE OF CONSTRUCTION I <br /> STORIES GROUP LOAU YES NO I <br /> ��� S.F", � / � <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASOIJ <br /> REQ'D REO'U <br /> APPf20VED OY DATE COM171r1ENTS 1�Y l G> /I�� <br /> i I� -J�11'-'l £! <br /> VALUATION I ' " r ��- PLAN CHECK FEE � � "' , ' /_ <br /> FEES <br /> BUILDING WATER _ _ <br /> SURCHARGE SEWER <br /> ADD PLAN CHK SYS.DEV. _ <br /> PLUMOING _ TRAFFIC MIT. <br /> MECHANICtiL OTHEfi _ <br /> SPRINKLE <br /> PUdLIC WORKS <br /> TOTAL . TOTAL <br /> z/ <br /> I <br />