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FOR OFFICE USE ONLY ��U t4G `�-OUZ <br /> BUILDING PLAN�ING <br /> F31dg/TI/AddNKem Size ' Zoning Classification "� L <br /> Garagc Size 2��"7iY _ Overlay/Agreement <br /> VALUATION Nornesidential Use <br /> P:o.ot Stories Residenlial Use ' —�j (�1� <br /> Occupancy Group Proposed No. of Dvmlling Unils: <br /> Occupanl Load Total flo. o(�wclling Units: � <br /> Basement Yes No FinlUnf Landscape or Planning Inspection <br /> Type of Consirur.lion needed be(orc final? Yes No <br /> E*stg Spnn4ler System7 Yes No_�Unk Plannir.g�nspector – <br /> Fire Sprink Reqd? Yes_ No_� Phone+: <br /> Reason Approved Dale: � <br /> Exstg Fi�e Alarm? Yes No_Unk Flisloric ApproveA by�� �ate- <br /> Fire Alarm Reqd? Ycs No School hinigaBen Reqd� Yes No <br /> Rcason f.ommenls <br /> Enclowre (HCW64 55) Yes No <br /> Approved by. JN Oate: �J L�. . . . . . <br /> �o,��„�,,,5 pk 6r� <br /> Per SI'� <br /> FEES <br /> Ptan Check Pcc <br /> f3uiiding Permd <br /> Surcharge <br /> Addifional Plnn Check <br /> Water —.^-- <br /> Sewer <br /> Syslems Dev. Due? Yes No <br /> Publit Vtbrks <br /> llaffic Mitigalion Due� Yes No ficpt # <br /> �Z <br />