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FOR OFFICE USE ONLY <br />PERMIT NUMBER ��n��J • (' S� <br />SITE ADDRESS <br />LOT AREA FRONT SETBACK REJ.R SETBACK <br />/0 ` �U , <br />N0. OF DWELLING APPROVED BY DAT <br />UNITS (�— S Z3/(� <br />�L�+l�l <br />BLDG/T.l. SIZE GARAGE SIZE I N0. OF <br />;•T(�RIES <br />L� ��� <br />NEW FIRE SPRINKLER RF1150N <br />REa'D �v <br />APPROV D BY DATG <br />�,,.. � 2 � . c. <br />VALUATION <br />BUILDING <br />SURCHHRGE <br />ADD PLAN CHK <br />PLUMBING <br />�dECHANICAL <br />SPRINKLE <br />PUBL�C WORKS <br />TOTAL <br />ZONING <br />SIOE SETBACK <br />� <br />COMMENTS <br />SUB-PERMITS <br />VACANT SITE <br />YES NO <br />J�i <br />USE ZONE HEIGHT LIAIITATION <br />M-5 ��� <br />BUILDING <br />OCCUPANCY OCCUPANT DASEMENT TYPE OF CONSTRUCTION <br />GROUP LOAD YES NO <br />G� ,, ; q ,�^i7FN n,'il <br />NEW FIRE ALARM REASON <br />REO'D�U <br />COMMENTS <br />/,, I� <br />PLAN CHECK FEE �J`�' ` <br />FEES <br />wnTea <br />SEWER <br />SYS. DEV. <br />TRAFFIC 611T. <br />OTHER <br />TOTAL <br />