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FOR C�FIC[ USE ONLY <br /> PERMIT NUA78[R SU�-PER�AITS <br /> SIl'E A�DRESS - <br /> 7_ONING <br /> LOT�REA PRONT SETB�CK RFN2 SETBFCN SIDE SETf3ACiC I VACAtJi SITE USE 7.ONE HE:GHT LIh71TATION <br /> YES NO <br /> I <br /> NO.OF DWELLING APPROVED BY DATE C0�1�1ENTS <br /> UNITS <br /> aui�oir�� <br /> OLDG,?J.517E GARAGB S12E NO.OP OCCUP�INCY OCCUPAIIT BASEhiENT NPE OF CO?JSTRUCTION <br /> STORIES GROUP LOAD YES NO <br /> NFWFIRESPRINKLER REASON NL-NIF�REAv�Rl.1 RE.150�! <br /> PLQ'D Rf0'f1 <br /> APPROVED 6Y DATF GOh1�1ENTS <br /> VALUATION i'LnN ct+ECK FEE <br /> F[ES <br /> UUILDING WAIER <br /> SURCHARGE SC�4'ER <br /> AD�PIAN CHK SYS.DFV. _ <br /> PLUh1BING TR�\PPIC h11T. <br /> M[CHANICAL OTI ILR <br /> SPRINKL[ _ <br /> PU�LIC WORKS <br /> TOTAL roinL <br />