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FOR GFFICE USE ONLY <br /> M� �yo I-CzS� <br /> BUILDING PLANNING <br /> 81dglTllAddnlRem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Slories Proposed No. of Dwelling Units: <br /> Occupancy Group Total No. oi Dwelling Units: <br /> Occupanl Load Landscape or Planning Inspection <br /> Basement Yes No FinlUnf needed before final? Yes_ No_ <br /> T��pe ot Consiruclion Planning Inspeclor: <br /> Ezstg Sprinkier System7 Yes_ No_Unk Phone ri: <br /> Fire Sprink Reqd? Yes_ No Approved by: Date: <br /> Reason Historic Approved by: Date: <br /> Exslg Fire Alarm? Yes No Unk_ School Mitigation Reqd? Yes_ No_ <br /> Fire Alarm Reqd? Yes No_ Comments: <br /> Reason <br /> C ) Required? Yes_ No_ <br /> Enclosure (RC 64.55) Yes No <br /> Approved by: Dale: � � ' � <br /> Comments <br /> FEES <br /> Plan Check Fee <br /> Building Permil <br /> Surcharge <br /> Addilional Plan Check <br /> Waler <br /> Sewer <br /> Systems Dev. Due? Yes__ No_ <br /> Public Works <br /> TraKc Miligation Due7 Yes No Rcpt# <br /> School Miligalion Paid? Yes___ No_ Date Pd <br /> �j�. <br />