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i <br /> I <br /> � <br /> FOR OFFICE USE ONLY <br /> PERMI7 NUMBER CG 4 G,$- O 4I SUB-PERMITS <br /> SITE AUDRESS <br /> � <br /> ZONING <br /> LOT AREA FRONT SETBACK REAR SETBNCK SIDE SETBACK VACANT SITE USE ZONE HEIGHT UMITATION <br /> �'J � �� YES NO ��� � <br /> 5 <br /> N0.OF DWELLING APPROVED BY DATE COMMENTS <br /> UNITS � � � D� <br /> BUILDING <br /> BLDG/T.I.SIZE GARAGE SIZE :aJ.OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO � <br /> 2Zi � r o s � 2 .� v• -�v <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> RE�'D REa'D <br /> APPROV D Y DATE COMMENTS 1917 C' �/ kJS� I.+I�I <br /> 6 <br /> VALUATION �S�o�7OS PLAN CHECK FEE _ <br /> FEES <br /> BUILDING _ WATER <br /> SURCHARGE SEWER <br /> ADD PLAN CHK SYS.DEV. <br /> PLUMBING TRAFFIC MIT. <br /> MECHANICAL OTHER _ <br /> SPRINKLE <br /> PUBLIC WORKS <br /> TOTAL TOTAL <br /> �d <br />