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PERMI7NUMBER CCJSC�-P/L�i <br />SITE ADDRESS <br />I LGT AREA <br />INO. OF DWEILING <br />UNITS <br />FOR OFFICE USE ONLY <br />ZONING <br />�SET&4CK REAR SETBACK SIDE SETBACK <br />Zv' Zo' S � <br />)VED BY DATE GOMh1ENTS <br />C�l,l�:'� �ya/!�t/�� <br />:V&PERMITS <br />VACANT SITE USE ZONE HEIGHT LIMITATION <br />YES NO j �� ��J i <br />n r�l <br />BUILDING <br />C��zP��.7/n�� <br />BLDGR �. SIZE 6ARABFSIZE NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUC110N <br />STOR�[S GROUP LOAD VES NO <br />,�� s, F: Z U .�13 <br />NEW FIRE SPRIIJKLER REASON NEW FIRE ALARM REASON <br />RWD REO'D <br />APFRJVED BY DATE COMMENiS L a% j /�L �� <br />� S �'J �J <br />VALUATIO.'J ��L� '7� / _ <br />BUILDItlG <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMdING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORHS <br />TOTAL <br />PLAN CHECK FEE_�'�/G� <br />FEES � 77 -5 � <br />WATER <br />5[WER <br />SYS. DE�/. <br />TRAFFIC MIT. <br />OTRER <br />TOTAL <br />�/ L <br />