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PERMIT NUMBER ( Ci4GS OU5 <br />SITE ADDRESS <br />FOR OFFICE USE ONLY <br />ZONING <br />SUB -PERMITS <br />LOT AREA <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />VACANT SITE <br />USE ZONE <br />HEIGHT LIMITATION <br />2-05 <br />YES NO <br />3S <br />El P�- <br />NO. OF DWELLING <br />APPROVED BY <br />DATE <br />COMMENTS <br />UNITS A <br />/Ogi <br />BUILDING <br />BLDG/T.I. SIZE GARAGE SIZE NO. OF JOCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />�s S,F, � <br />NEW FIRE SPRINKLER REASON NEW FIRE ALARM I REASON <br />REO'D I REO'D <br />APPROVE DATE COMMENTS G.L.it�� �/IC.. <br />VALUATION 34r. / 170 <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />Z(y <br />