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rn � �� 3 -Qoy <br />FOR OFFICE USE ONLY <br />� ���y <br />PLANNING <br />Zoning Classificalion <br />OvedaylAgreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final7 Yes _ No <br />Planning Inspectoc <br />Phone ri: <br />Approved by. Date: <br />Historic Approved b : Date: <br />School Miligation Reqd? Yes _ No <br />Comments. <br />FEES <br />Plan Check Fee <br />Buiiding Pcrmit <br />Surcharge <br />nddilional Plan Check <br />Watcr _ <br />Sewei <br />Syslems Dev.Due7 Yes _ No <br />Public Works <br />TraKc Mdigalion Due7 Yes _ No Rcpt # <br />School Mitiqation Pa'd? Yes __. No __ Date Pd <br />L�Z <br />