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� � <br /> Ct 50 3-�-ay <br /> FOR OFFICE USE ONLY 3 `-)6 `�S <br /> BUILDING PLANNING <br /> � <br /> 61dq�TliAddniRem Srze l (3. 7_oninq Ciassfication <br /> Garage Size qverlay/Agreement <br /> i . . . . . <br /> VALUATION ,�pp Nonresidential Use � <br /> No. of Stories Residential Use <br /> ,"� • <br /> Occc anc Grou Pro osed No of D�se!hnq Unds. <br /> � <br /> Occu ant Lo�d 7olal Nu. of Uv:ellin Units�. <br /> Basement Yes_ PJo FinlUnf_ Landscape or Plaiining Inspection <br /> c. � _ . .. -.. . ' <br /> " ' Type af Construction ' aceded before final7 Yes No � <br /> ErslgSprinkierS slem7 Yes . No Unk t Plannin In5p0C�of: � � � <br /> ' Fire�S nnk Re d? Yes No Phor,e�-. <br /> Reason � A wved b . Date�. <br /> Exsta F�;e Alarm9 Yes No Unk Histeric A proved b Date <br /> Frte Alarm Re d? Yes No School t�idiqahon Re d9 Yes No <br /> Reason Ecereti School Dist MuRilleo Schpcl D�st <br /> [n:.losurz RC4Vca 55 Yes Na #o(Net New U�ds ' � <br /> Apo�oved b Date�. 3 $ I Calculzted Scnool Im act Fee. <br /> Comments. ZC�` �2� School ImpaU Fee Cred�l <br /> Total School Im act Fee Ov+ed <br /> Comments: <br /> � FEES <br /> Plan Check Fce � <br /> Bwltlinn Permit <br /> Surcharqe <br /> Adddional Plan Check � �� . , <br /> Watcr <br /> Sewer <br /> S stems Dev. Due? Yes No <br /> S slems Dev. Fees <br /> Public VJorks <br /> Traffc Ntiti ation Due9 Yes No Rc t# <br /> School Mitiqation Fee <br /> �Z <br />