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FOR OFFICE USE ONLY L1,305 - O (CS <br />BUILDING <br />Bldg !T 1 Size <br />qz3o 5,c <br />Garage Size <br />C, ,-j3 S.f <br />VALUATION <br />IqS 2 3 C-)-? <br />No of Stories <br />occupancy Group <br />C114 <br />Occupant Load <br />Basement <br />Ye; rJo <br />Type of Construction <br />Fire Sprink Reqd <br />Reason <br />Fire Alarm Re d <br />Lteason <br />CO Required? <br />�5 <br />Fnclosure tRCW64 55) <br />Approved b Pate,�Z2dJ3 <br />Comments /,0_(- 4t {aJEC <br />FEES <br />on <br />ZONING <br />Lot Area <br />Front Setback <br />a f <br />Rear Setback <br />C9 O <br />Side Setback <br />/ <br />Vacant Site <br />Ye ✓ No _ <br />Use Zone <br />Height Limitation <br />No of Dwelling Units <br />Landscape I Planning Inspection <br />needed before fi ? "cS No <br />Approved by - <br />Uate -�� t 3 <br />Comments <br />