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� � <br /> FOR OFFICE USE ONLY C ( �{0 Fs -p( � <br /> 4—2-z—� �.( <br /> BUILDING PLANNING <br /> BidclTl/Addn/Rem Size Zonin9 Gas;fication <br /> Ga�age Size Overiay/Agreement <br /> VALUA�ION Nonresiden!ial Use <br /> No. o(S�ories Proposed No. of Dwelling Units� <br /> Occupancy Group Total No. of Dvrelling Units: <br /> Occupanl Load Landscapc or Planning Inspection <br /> Basement Yes No FinlUnf needed betorc(inal? Yes No___ <br /> Type of Construction Planning lnspector: <br /> Gzst9 Spnn:.icr Syslem? Yes Na Unk Phone k: <br /> Fire Sprink Rend? Yes No Approved by. Date�_ <br /> Reason Histonc Approved by: Dale: <br /> [xsl9 Fire Alarm? 1'es No Unk Schocl A7itination Reqd9 Yes __ No __ <br /> Fire Alarm Reqd7 Yes No CommeNs <br /> Rr_ason <br /> CO Required? Yes No <br /> ' [ndosure (RCVJ6A 55) Yes__ o� _ <br /> �lppwved by. � Date� � � <br /> Commenls: � <br /> FEES <br /> Plan Check Fee <br /> Duilding Permil <br /> Surcha�ge <br /> Addihonal Plan Check <br /> Water � <br /> Serier <br /> Systerns Dev. Due? Yes No • <br /> Public bVorks <br /> Traffc Mitigalion Due? Yes No Rcpt# <br /> Sc�ool P✓�figation Paid7 Ycs No Date Pd <br /> Z �y <br />