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a <br />FOR OFFICE USE ONLY <br />,� a��os <br />PERMIT NUMBER ( U�j (j �- UU3 SUB-PERMITS <br />SITEADDRESS ��a� W �UhrITEfJ �J�-1%J� <br />LOT AREA FRONT SET�ACK I REAR SETBACK <br />q o00 + �d � o` <br />NO. OF DWELLING APPROVED BY DATE <br />UNITS � _. . . / _ <br />ZONING <br />SIDE SETBACK VACANT SI i E <br />5 j YES NO <br />COMMENTS <br />Nt� �C3C,�'� 1 er + <br />BUILDING <br />USE ZONE HEIGHT LIMITATION <br />>_5 _ 2$' <br />0►�1 S. �iwN <br />BLDGlf.l. SIZE GARAGE SIZE NO. OF OCCUPANCY OCCIIPANT BASEAfENT TYPE OF CONSTRUCTIGN <br />STORIES GROUP I.:�AD YES NO <br />•2 �3� S �2su s.F 2 �'3 u <br />NEW FIRE SPRINKLER RE4SON NEW FIRE ALARM REASON <br />REQ'D REQ'D <br />APPROV DBY DATE COMMENTS ���3 I�C � ��Q S% V/AQC,� W,S�C- <br />1�.. / ' ^ <br />\J �� Ll_/ <br />VALUATION �Z75�3 g % <br />BUILDING <br />SURCHARGE <br />AD� PLAN CHK <br />PLUMBING <br />MECHANICAL <br />S?RINKLc <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK <br />FEES <br />WATER <br />SEW ER <br />SYS. �EV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />q/a,�o P <br />'� ��-�+ .� � o i� � ya �'� m-c} <br />2'2 <br />