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age Size <br />UATION <br />of Stories <br />Reason <br />csta Fire Narm? <br />BUILDING <br />Date <br />FOR OFFlCE USE ONLY <br />PLANNING <br />Zonin Classifiwtion <br />Overlay/Aareement <br />Nonmsidential Use <br />Residentiai Use <br />Proposed No. ol Dwellinc Vmts� <br />�� Total No. of Dwel6n Units� �� <br />No _ FiNUnf � Landscapc or Planning Inspectlon i� <br />� needed befom Onal7 Yes No <br />No Unk Plannin Ins ec�or. /� <br />No Phr,ne #: , <br />� <br />No Unk Historic Ao roved b:' Date: <br />No School Mi!i ation�Re tl� Yes No <br />Everett School Dist Mukdteo School Dis, <br />No # of Net.New Units: <br />CalwlateB School Im act Fee <br />� <br />