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� � <br /> FOR OFFICE USE ONLY g►`�OS-�O� <br /> Jc �a �j�) � <br /> BUILDING PLANNING <br /> OtdglTl/Addn � em �-e Z S . Zoning Classifcalion = �� � � <br /> Sizc p� D SY� Overiay/Agreement <br /> VALUATION - 3c7 28J � Non}esidential Use � � • i � <br /> • No. of Slories � � � ' � ��- Proposed No. o(Dwelling Units: /�� ' <br /> Occupancy Group <br /> Totai �'o. of Dwelling Units: �` <br /> Occupant Load Landscape or Planning Inspection � <br /> Basement Yes x No_ i 1�kQ_. needed before tinal? Yes__ No _ _ <br /> Type of Conslwction� � �IZ Planning Inspedor <br /> -� � Exslg Spnnkier Sys;em7� Ye5 No_ Unk_ Phone#�. <br /> Fire Spnnk Reqd? Yes No �pproved by. {'�� Date: � <br /> Reason Nistoric Approved by: Da�e: <br /> Exstg Fire Alarm7 Yes No__ Unk __ School ��tit�gahon f2eqd? Yes_• No__ <br /> Fire A�arm Reqd9 Yes ____ No Commznts � <br /> Rcason - <br /> CO Required? Yes _ _ No � ' <br /> [nclosure (RC1N64 55) Yes No <br /> Approved by Date Z <br /> Comments 2oe2 �� � w�-� <br /> FEES <br /> Plan Check Fec <br /> E3uildin9 Permit <br /> Surcharge <br /> ��ddilional Plan Check <br /> \Jater <br /> Sewer <br /> Systems Dev. Due? Yes No � <br /> Public Works <br /> ?raf(ic h9itigation Due? Yes_. No P.cpt# <br /> Schocl Mitigalion Paid? 1'es No Date Pd <br /> �� <br /> � � � <br /> , , f� <br />