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FOR OFFICE USE ONLY .S 12(Z -L�� <br /> 3 ` 1 a--a.0� !Z <br /> BUILDING ZOI:ING <br /> �Bid•.fT.l.Size Lot Area — — <br /> Garage Size Front Setbadc <br /> VALUATION Rear Setback <br /> No.of Stories Side Setbadc <br /> Occu anc Gmu Vacant Site Yes No ' <br /> OccupantLoad Use Zone C' � �� <br /> Basemerl Yes No Hei ht Limitation <br /> T e of Construdion No, of Dv.ellin Units � — <br /> Fire S nnk R d Wndsca�e/Planning Inapectfon <br /> Reason nr.eded be(ore finai? Yes No X <br /> Fire Alami Re d A roved b Date <br /> Reason Comments: <br /> CORe ufred? <br /> � <br /> EnGosure(R 64.55 � <br /> Approved b Dat ,` <br /> Comments: <br /> ,�l, � <br /> FEES <br /> Plan Chedc Fee <br /> Buildin Permit <br /> Surcha e <br /> �dditional Plan Check <br /> Water <br /> Sewe� <br /> S stems Develo ment <br /> Public Works <br /> Tra(Lc Miti aGon <br /> Other <br /> �I <br /> �Z <br />