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I "' <br /> r� � FOR OFFICE USE ONLY <br /> !�'���-�� <br /> PERMITNUMBER J���O � y �'�. SUB-PERMITS <br /> SITE ADDRESS �'��/f���C������C'� <br /> ZONING <br /> LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZON'e HEIGHT LIMITATION <br /> YES NO <br /> N0.OF DWELLING APPROVED BY DATE COMMENTS <br /> UNITS <br /> BUILDING <br /> . BIDGff.I.SI2E GARAGE SIZE N0.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO —, <br /> .'>�l7 '�J -- : �-� `' �� J% 15 <br /> NEW PIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> REQ'D - REQD . <br /> . -�-, . ,_i . <br /> !. �._ c` �_,_1' I',.:• i't�i '_J '_' . <br /> APPROVED�Y DATE COMMENTS <br /> , r / <br /> , , =� . . r� <br /> �-�.�. ��j�, <br /> VALUATION ,. ' ("` PLAN CHECK FEE <br /> FEES ` <br /> BUILDING �(�/� G V WATER `�/7- " <br /> SURCHAP,GE � �"��') SEWER <br /> tJ� - f/� , SYS.DEV. J/'Z G��/ I�OJ ^ <br /> ADD PLAN CHK <- �-('� <br /> D <br /> PLUMBING TRAFFIC MIT. <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> IPUBLIC WORKS <br /> I ``_ <br /> TOTAL �'!./' I�w� TOTAL <br /> I <br /> I <br /> � <br /> I <br />