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8���--��F <br /> FOR OFF/CE USE ONLY �� �G7 -G�5 <br /> BUILDING PLANNING <br /> 91dy/?IlAddnlP,ern Size Zonirq Classdicauon —M w �— <br /> Garage Size OverlaylAgreemenl � <br /> VALUATION NonresidenUai Use <br /> Na. of Stories Total No. of Dv:ellinq Units' <br /> Occupanc,Groun Landscape or Planning Inspection <br /> Occupant Load needed 6efore final9 �'es No� <br /> Basemen; Yes No FinlUnf Plannmq �nspecbr: <br /> �vpe ol Construct�on �,K . c.J� Phone#�. <br /> Erst„ Sannkle:System� Yes No Unk ADProved by Date�. -,�—�� <br /> Fire Sprink ReGd� Yes ,Jo Historic A�preved by: Date: I� <br /> � Reason � Comments: <br /> E;cst9 Fire Alarm% Yes No_ Unk_ �e-� ' �Q�� ( p y�Ur�j $('�Y�' <br /> Fir? P.IarmReqd� Yes __ Mo _ Qq-�,a - — (j� SJ✓I�e �wn� <br /> Reason /1 A S Q 9 ra� � PG,$Plne� o� <br /> CO Required7 IYes _ N� a�a��1 p(!�,,,',,1 . Rc�d��n�'�1',/ <br /> Enclosure �RC ed.551 /��/�r� �n�/�v' �7 � ����/'� <br /> Npprovetlby: r�;e� _ � _ c�U� � Ctt RC4f Q/r"Cts ,./ <br /> Comment;� I �r%y� �� <br /> FEES <br /> Plan Check Fee <br /> Buildin Permit <br /> Surcharye <br /> Add�tional Plan ChecV: <br /> Waier <br /> Sevrer <br /> S 5f^ms Developmenl <br /> Public Works <br /> Tra(fic M1Lliqalion <br /> Olher <br /> �1v <br />