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� { <br /> FOR OFFICE USE ONLY <br /> � -r3-� 7 <br /> PERMITNUMBER C G�(I� -GS z- SUB•PERMITS <br /> SITE ADDRFSS — <br /> zor�iNc <br /> LOT AREA FRONT SETBACK REAR SETBAGK SIDE SETBACK VACANT SITE USE ZONE HEIGHT LIMITAT�ON <br /> YES N - <br /> �, i,���, � �l �> �� � <br /> NO.OF DWELLING APPROVED B1' DATE COMMENTS � <br /> UNITS <br /> };c� � �� C-'�� 3U 0� <br /> BUILDING <br /> BLDG/T.I.SIZ GAF2AGE S�ZE NO.OF OCCUPANCY OCCUPANT I BASEMENT TYPE OF CONSTRUCTION <br /> '< <.Z� STORIES GRUUP LOAD YES NO ' <br /> `�- ' �v S r: 't2/�l b' <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> REa'D RE�'D <br /> l�PPROVED Y DATE COMMENTS Z 003 /�'C- � �U.l V �-�'��- Z V`�`l I',JSc-�-<- <br /> � �c'/�/7 <br /> VALUATION 1�-,=—� PIAN CHECK FEE � . 2 �Jv��d <br /> ��S'� S` �. S FEES �� 7/,Co2 f' /4�/�� <br /> DUILDING WATER _ <br /> SURCHARGE SEWER <br /> ADD PLAN CHK SYS.DEV. <br /> PLUMBING TRAFFIC MIT. <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> PUOLIC WORKS _ <br /> TOTAL _ TOTAL <br />