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( <br />PERMIT NUMBER �' OoiD Ca- D 1 <br />SITE ADDRESS I l I6 PvLC' D jt' <br />L <br />LOT AREA FRONT SETBACK I REAR : <br />� � , �„/ <br />Gr%, <br />NO. OF DWE:LING APPHOVED BY ���j <br />UNITS . � i � _ / <br />ZONING <br />i�'ACK SIDE SET$/(� <br />�� ✓�� <br />�2 <br />BUILDING <br />� <br />SUB•PERMITS <br />VACANT SITE USE 20NE HEIGHT LIMITATION <br />YES NO p l �� J <br />F- "/ <br />KF' �X' �/tTd� WiY'N/.✓ S�of' <br />Gr�✓r. Srr9��z Fae G�✓�ns to•vc�/rj� <br />BLDG/T.I. SIZE GAFlAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br />REO'D REO'D <br />APPROVEDBY DATE COMMENTS <br />/' i <br />VALUATION % � '. '� <br />BUIIDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />� <br />