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BUILDING <br />Size <br />of Stories <br />Occupant Load <br />Basement <br />Tvoe of Construction <br />s <br />Reason <br />CO <br />FOR OFFICE USE ONLY <br />cigo3 -323 _ <br />PLANNING <br />4 Zoning Classification <br />e <br />>0 Overlay/Agreement <br />9SG I Nonresidential Use <br />7 Proposed No. of Dwelling Units: <br />(� Total No. of Dwelling Units: / !✓r%L <br />Landscape or Planning Inspec on <br />K Fin/Unf needed before final? Yes _ No <br />No. Unk_ Phone #: , 4t 1,5' 65 G3 / <br />No _ Approved by: Date: ZJ 25 <br />Historic Approved by: Date: <br />No Unk School Mitigation Reqd? Yes No <br />No Comments: <br />No <br />No <br />Comments: Z0/2 %eG i wx6c- <br />