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�I/Addr <br />te Sirc <br />Load <br />Fire Sprmk Feqd' <br />Reason <br />Cxsig Fire Alarm? <br />Fire Alarm Reqd? <br />Reason <br />Gnclosure (RCN'6 <br />App:oveJ 6y. <br />Corrmenfs� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Size <br />Yes No Pin/Unf <br />� — — — <br />�n <br />m� �'• Yes No Unk <br />Yes No <br />�\ <br />Yes �No Unk <br />Yes No� <br />/ <br />Si) Yes No '� /I <br />:: <br />Date: � � , <br />/ <br />eck Pee <br />Permil <br />3� <br />al Plan Check <br />See�er <br />Syslems Dev. Due? <br />Public Works <br />iralfic Mitigalion Due? <br />FEES <br />PLANNING <br />Nonresidential Use � j <br />Residenlial Use / <br />Proposed No. of Dwelling Unils: <br />Total No. of Dv:elling Units: <br />: — <br />Landscape ovPlanning Inspection <br />nceded before final? Yes No <br />Phone z: <br />School Iditii <br />Commenls� <br />No <br />f ate <br />Yes No <br />\ <br />