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FOR OFFICE USE ONLY <br />-��io ID <br />PERMITNUMBER .� �IOCi7'G� SUB-PERMITS <br />� ` �U� <br />SITEADDRE55 .� �d D a 1�'hn�� � <br />LOT AREA <br />� n.. i\y' <br />NO.OF <br />UNITS <br />ZONING <br />FftONT SETBACK REAR SETBACK SIDE SETBACK <br />�/ �� <br />APPROVtD BY �ATE COMMEhTS <br />VAYnTN� I USE � E I HEIA ��MITATION <br />n <br />�G /1 <br />BUILDING <br />BLOG/T.l. SIZE GARAG[ SIZE NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAO YES NO __ <br />NEVJ FIRE SPRINKLER I R[ASON <br />REQ'D <br />ENCLOSURE APPROVE06Y1 DATE <br />! /lz -� � 19 _ � <br />VALUATION I � �'70 <br />BUILUING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUh7BING <br />M[CHANICAL <br />SPRINKL[ <br />PUOLIC WORKS <br />TOTAL <br />NEW FIRE AU1RM R[ASON <br />RFQ'D — <br />COMMENTS ZO��} IQ� <br />/ � . <.I <br />PLAN CHECK FEE --� �4'��'�/ <br />FEES <br />WATER <br />SEWER - <br />SYS. DC-V. <br />TRAFFIC MIT. <br />OTHER __ <br />TOTAL <br />