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( <br />FOR OFFICE USE ONLY <br />PERMIT NUMBER <br />cA00! `-nO\ <br />SUB -PERMITS <br />SITE ADDRESS <br />ZONING <br />LOTAREA <br />FRONT SETBACK REAR SETBACK <br />I l <br />SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br />ll YES NO <br />35 <br />C) <br />I t R 3 c�A <br />�j � DWELLING <br />i` <br />APPROVED 2� <br />l <br />MMENTS <br />I, <br />Vi <br />r ut�cwlcri-i�. qA <br />hl d�� fnl <br />thiDO6 �ir5 <br />of tic ��cl�rin� WOA/ <br />BUILDING and AppywAl. <br />� r <br />BLDG/T.I. SIZE <br />GARAGE SIZE NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />LOAD YES NO <br />STORIES GROUP <br />58 S <br />53 s � <br />'i NEW FIRE SPRINKLER <br />REASON <br />NEW' FIRE ALARM REASON <br />REO'D <br />REO'D <br />1 ENCLOSURE <br />AP PROVEDBYIDATE <br />COMMENTS <br />ZOC* /ICC� W4 WSVIAQc- <br />5 t2 S /D <br />VALUATION % S D O <br />PLAN CHECK FEE <br />FEES <br />BUILDING <br />WATER <br />SURCHARGE <br />SEWER <br />ADD PLAN CHK <br />SYS. DEV. <br />PLUMBING <br />TRAFFIC MIT. <br />MECHANICAL <br />OTHER <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />TOTAL <br />a l� <br />30 <br />x�57 <br />