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� <br /> FOR OFFICE USE ONLY <br /> ��-n� <br /> PERMIT NUM9ER (� (Jb-U �,-(y SUB-PERMITS <br /> SITE ADDRESS �DD n�p�yl/lAQ � <br /> .._.,�� <br /> ZONING <br /> LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br /> � �� �lJ( � lJ' S / YES NO � ^ �� <br /> L <br /> NO. F DWELLING APPFOVED BY DATE COMMENTS <br /> UNITS / � 20 b <br /> BUILDING <br /> BLDGlT.I.S12E GARAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMENT NPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO � ' <br /> .��j � sr 2 �2 � <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> REO'D REO'D <br /> APPROVED Y DATE COMMENTS Z�iLJ�. �/�(._ � G�� � V �-- y' �NS�//,�QL <br /> ��' 2 z�/v <br /> VALUATION /.� Z, � �Z PLAN CHECK FEE <br /> FEES (,' '7U`�-OC`� ✓J <br /> BUILDING _ WATER S'� J���S/ / �� � � <br /> SURCHIIRGE SEWER �C <br /> ADD PLAN CHK SYS.DEV. /4 /,G' <br /> PLUMBING TRAFFIC MIL �� <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> PUBLIC WORKS <br /> TOTAL TOTAL <br /> �/� <br /> �- <br />