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FOR O�FICE � j - ONLY <br />il <br />PERMIT NUMBER CCJLoI 0' � U• �I SUB-PERAAITS <br />SITEADDRESS _�I � 4 GQ�'U� �� ��I I� <br />I —IE-o7 <br />s 2,� - J � � `��.�zoN <br />LOT AREA FRONT SETBACK RFAR SET�ACK SIDE SETBACK VACANT SITE <br />YES O <br />� c� �o � � �-. ?�-� S <br />NO. OF DWELLING AP�R�ED� DATE COMMENTS <br />uNirs � J� <br />L J ���.'Lc�C(; l��tiur4'..l� y f�vE <br />� �1'� I -��-��� <br />BLDGIT.I. SIZE GARAGE SIZE NO. OF <br />STORIES <br />� r�i s-r'c� -- 2 <br />NEW FIRE SPRINKLER REASON <br />RE�'U <br />It�y <br />VALUATION <br />BUILDING <br />SURCHARGE <br />AOD PLAN CHK <br />PLUMBING <br />M1tECHANICAL <br />SPRINKLE <br />?UOLIC WORKS <br />TOTAL <br />DATE <br />I /�� <br />o v�� <br />BUILDING <br />OCCUPANCY C�CUPANT <br />GROUF' LOA� <br />USE ZONE HEIGHT LIMITATION <br />� � � 35 <br />�Fr' ST)�CG/ /'li��/ ��W <br />BASEMENT I TYPE OF CONSTRUCTION <br />YES NO <br />IJEW FIRE ALARM I REASON <br />RE�'D <br />COMMENTS Z�('� /2C � �%fViAC7C Z�� <br />�`'}��o����J� 1'Iw�'2 J�P �i A6k, I.3 2(W-f -W4�) I <br />PLAN CHECK FEE � U� " / <br />FEES <br />_ WATER <br />__ SEWER <br />SYS. DEV. <br />TF:,FFIC MIT. <br />OTHER <br />TOTAL <br />� <br />