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FOR OFFICE USE ONLY <br />PERAIITNUM1IBER �OSDq-D$� <br />SITE ADDRESS <br />ZONING <br />LOTAREA FRONTSETDACK REAR SETBACK SIDESETBACK <br />L���j� ' � � <br />� `, J�'/U <br />tJO. OF DWELLING APPROV��gg,,��Y UATE <br />L'NITS ( \ COMMEN7S <br />N/}' �� U Z � <br />\J �-' 8' S •6� <br />BLDG/T.I. SIZE SIZE NU. OF <br />I z L s, F. sroHies <br />NEWFIRESPRINKLER REqSON I <br />REO'D <br />APPROVED <br />VALUATION <br />I (3UILDING <br />! SURCHARGE <br />I� �'�DD PLqN CHK <br />P�UMBING <br />'.1FCHANICAL <br />. _;PRINKLE <br />PU�LIC WORk3 <br />TOTAL <br />DATE <br />SUB-pERMITS <br />VACANT SITE <br />YES NO <br />BUILDING <br />OCCUPANCY OCCUPANT <br />3ROUP LOAD <br />�,� <br />NEVJ FIRE ALARM REqSON <br />REQ'� <br />COMMENTS z.70� 'aC <br />PLAN CHECK <br />r-ees <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC A11T. <br />OTHER <br />TOTAL <br />USE ZONE HEIGHT LIMITATION <br />7�-2 Z� � � <br />OASEMENT I TYPE OF CONSTRUCTION <br />YES NO <br />