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� <br />FOR OFFICE USE ONLY <br />ll -�o_v� <br />PERMIT NUMBER ��O 7 I(;j " C7C-� I SUB-PERMITS <br />SITE ADDRESS � � � S � � [ � <br />l0T AREA <br />�, a,� � <br />NO. OF DWELLING <br />UNITS <br />��-11w I <br />FRONT SETBACK REAR SETBACK <br />�7, 2C, <br />APP/��y E�D BY DATE <br />7 I��1 � � I� 1✓ �� <br />ZONING <br />SIDE SETBACK <br />5' <br />COMMENTS <br />BUILDING <br />VACANT SITE USE ZONE HEIGHT LIMITATION <br />YES NO n r�, ' <br />n r� I`� ' 2 G U <br />BLDG/T.I. SIZE GARAGE SIZE NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />13 S. 3�33 2 N <br />NEW PIRE SPRINKLER REASON NEW FIRE ALARM REASON <br />RE�'D REQ'D <br />APPROVEDBY DATE COMMENTS ZcXi� �I1L� LUSV/AQC �!�'5��- <br />���� � /S � <br />VALUATION I�l��r7 B� <br />BUILDING <br />SURCHARGE <br />AOD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC N'ORKS <br />TOTAL <br />PLAN CHECK <br />FEES <br />WATFR <br />SEW ER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />9��9 c'��`�� - x�� �� . <br />�,� ' — /'� � 7/ <br />� .� � _ <br />2/2 <br />