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FOR OFFICE USE ONLY <br /> I � ds".�� <br /> PERMITNUMBER I����� d "(,/G ) SUB-PERMITS <br /> SITE4DDRESS �aDO a32D t��. �/ <br /> ZONING <br /> LOT�REA FRONT SE BACK REAR SET ACK SIDE SETBACK VACANT SITE USi ZONE HEIGHT LIMITATION <br /> � �LL� ��/� � ��) t �n �_ YES NO .NI - � JV <br /> N0.OF D "LLING APPROVED Y DATE COMM NTS <br /> UNITS� a < ,��� .. �'"�� 3.t�1 <br /> ✓ � �11��� <br /> BUILDING <br /> BLDG/T.I.SIZE GAf2l�GE SIZ[ NO.OF OCCUPANCY OCCUPANT BASEMENT P.'PE OF CONSTRUCTION <br /> STORIES GROUP LOAD YES NO � <br /> � � � ��,� �, � _'L � � -� � - 1> <br /> NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br /> REQ'D - RE�'D <br /> � L <br /> �/ �'L. � . ��� (_ F � _1 �� <br /> APPROVEIJ BY DATE � COMMENTS <br /> 1_ l � Ij i; tl J�{ I Z� I i� <br /> `L - - `> <br /> , � <br /> VALUATION ��" �E'> > ��"C � � � I PtnN CHECk FEE � � �- <br /> Go�>� �:� <br /> _ � l,(.' ;? �! �L.j FEES � �' /1� ,. ��, �f,' .• f _ <br /> « <br /> � <br /> BUILDING WATER --� .f-�r /l-;' f I-��'..� <br /> SURCHARGE SENlER �� � <br /> ADD PLAN CHK SYS.DEV. _ � �7�• / � U-'�-��� �'�� �L <br /> Cl <br /> PLUMBING TRAFFIC MIT. ��.ti�-� <br /> MECHANICAL OTHER l v�L'� v _ <br /> SPRINKLE <br /> PUBLIC WORKS �-- � <br /> TOTAL TOTAL <br /> �� � �. <br /> � � ,y . ,. . -, - . _ _, , /� � <br /> / ' , <br /> ,t;�1�(i . . y _. , — . ��� � <br /> /` L � <br /> � � c. - �� <br />