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( a�- <br /> FOR OFFICE USE ONLY ' <br /> PERMIT NUMBER � V -r'j�V -U a"� SUB-PERMITS <br /> SITE ADDRESS <br /> ZONING <br /> LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITATION <br /> YES NO <br /> NO.OF DWELLING APPROVtD BY DATE COMMENTS <br /> UNITS <br /> BUILDING <br /> BLDG/i.l.SI2E GARAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMEM TYPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO <br /> t�(� S ' Z 12 <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> RE�'D RE�'D <br /> APPROVE BY DATE COMMENTS Z��.YJ3 �/�C � Wl�/4C? G <br /> � �5 �s 'Za�y {�t1t5C <br /> / <br /> VAWATION S7 U C��''J pLAN CHECK FEE_I/�W- �n C /�/ ]'O� <br /> • FEES <br /> BUILDING �I'��=�IIIGGGC. �VP�V WATER <br /> SURCHARGE SEWER <br /> ADD PLAN CHK SYS.DEV. <br /> PLUAIBING TRAFFIC MIT. <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> PUBLIC WORKS <br /> TOTAL TOTAL <br /> �/2 <br />