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FOR OFFICE USE ONLY <br />PERMIT NUMBER 1� Q �i(� �{ �6� <br />SITE ADDRESS <br />ZONING <br />SUB-PERMITS <br />LOT AREA FRONT SE7BACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br />YES NO <br />NO.OF DWELLING APPROVED BY DATE COMMENTS <br />UNITS <br />BUILDING <br />BLDG/T.I. SIZE GARAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />NEVJ FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br />REQ'D REa'D <br />APPROV 0 BY DATE COMMENTS <br />7 1 � 7 � <br />VALUATION <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK FEE <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />�(� <br />