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� 1 �� I l 'U( � <br /> FOR OFFICE USE ONLY <br /> BUILDING ZONING <br /> Bldg./T.I. Size �q7 LotArea _ <br /> Garage Size 3 6 S, . Fronl Selback � � <br /> VALUATION p 52S RearSelback (Q� � IJ��n <br /> No.of Stories 3 Side Selback �b � � �� �`' <br /> Occupancy Gmup Vacant Site Yes� No_ <br /> Occupant Load Use Zone �c. `� <br /> Basemenl Yes No Height Limitation ''�5 � <br /> T pc of Construclion Na.of Dwellir Units ( <br /> Fire Sprink Reqd Landscape I Planning Inspection <br /> Reason needed 6etorefinal7 YesX No <br /> Fire Alarm Reqd Approved b - Da;e l ZC`� IZ <br /> Reason Comments: <br /> CO Required? Y 5 <br /> Enclosure(RCWG4.55) <br /> Approved by Dafe � li <br /> Commerls� Z,�p� ��G �i (,llsfiC <br /> 3 �3p2n a- D�u <br /> FEES <br /> Plan"heck Fee <br /> Buildin Permil <br /> Surcharge <br /> Addilional Ptan Check <br /> Water <br /> Sewcr <br /> Syslems Devetopment <br /> Public Works <br /> Traffic Miti ation <br /> Other <br /> Z/L <br />�;i'{ <br />