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_ � - -i <br /> I FOR OFFICE USE ONLY <br /> �'7 _a �!_ 9 <br /> PERMIT NUMBER �)C ,�—U 3� / SUB-PERMITS <br /> SITE ADDRESS �� a'S� �/I�K(�'S �" v� <br /> ZONING <br /> LOT AREA FRONT SETBACK REAR SE iBACK SIDE SETBACK V.4CAIJT SITE USE ZONE HEIGHT LIMITATION <br /> YES NO f /'� I <br /> i f� � ' i-` � �r ���CL � ��' "� l <br /> ���' -� � � �� '.�� t.�IOJ� �'(i <br /> NO OF DWELLING APPROVED�Y DATE COMMENTS <br /> r <br /> �H�i� (� ''#� �� - �����'' � L'�I <br /> , � <br /> BUILDING <br /> OY1c�i <br /> BLDG/TJ. SIZG SIZE NO.OF OCCUPANCV OCCUPANT 6ASEMENT TYPE OP CONSTRUCTION <br /> STORIES GROUP LOAD VES NO <br /> � 5 ' I <br /> NEW RRE SPRWKLER REASON NEW FIRE ALARM REASON <br /> REQ'D REO'D <br /> ENCLOSURE APPROV[D BY/ DA7E COMMENTS �LXXv IRC � �USLL <br /> � <br /> 7J � ��3, 'L i <br /> VALUATION � Z�� PLAN CHECK FEE / L-��/ <br /> FEES � <br /> [3UILDING �/I �`' ����iL�' C `"G��I7 - �NATFR . <br /> SUF2CHARGE L� � ��� ����� � 58WER <br /> ADD PLAN CHK SYS DEV. _ <br /> PWM�ING _ TRAFFIC�d1T. <br /> IdECNANICAL _ OTHER <br /> SPRINKLE <br /> PU6LIC WORKS _ <br /> TOTAL TOTAL I <br /> � I <br /> O�I� <br />