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1 <br /> FOR OFFICE USE ONLY <br /> IPERMITNUMBER _�ii�g�Oa� SUB-PERMITS <br /> SITE ADDRESS <br /> ;% <br /> -�j�� Lci'i%I' <br /> ---- ZONING <br /> LOT AREA FRONT SETBACK REAR SETBACK SIDE SETBACK VPCANT SITE USE ZONE HEIGHT LIMITATION <br /> `( n , I�(0 5� O O � YES NO /r _� � � � <br /> '� �� l_ <br /> I <br /> NU.OF DWELLING AP�ROVEU�Y DATE COMMENTS <br /> UNIT � : �� <br /> g .Z?. o <br /> BUILDING <br /> BLDG/f.l.SIZE GARAGE SIZE NO.OF OCCUPANCY OCCUPANT BASEMENT 1YPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO <br /> � - � / <br /> �0 0 a) �/" <br /> NEW FIRE SPRINKLER REASON I `:EW FIRE ALARM REASON <br /> REQ'D N REQ'D��j <br /> v <br /> APFROVE 18Y DATE COMMENTS <br /> jlh � - l _ � <br /> VALUATION I'� �_� �i PLAN CHECK FEE �/ O(O� c� / <br /> �.,' ��� FEES <br /> �, J <br /> BUI�DING WATER <br /> SURCHARGE SEVJER <br /> ADD PLAN CHK SYS.DEV. <br /> PLUMBING TRAFFIC MIT. <br /> MECHANICAL OTHER <br /> SPRINKLE <br /> PUBL�C WORKS <br /> TOTAL TOTAL <br /> z�� <br /> __ ,- _ _ _ _ <br /> _ .. <br /> � , ,: ,. , ��'— -�#�';�: �et�:ix:,. _.:>.,. ,i�:»�W <br />