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FOR OFFICE USE ONLY <br />PERMIT NUMBER f1105O {) Z <br />SITE ADDRESS <br />ZONING <br />SUB -PERMITS <br />LOT AREA <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />VACANT SITE <br />USE ZONE <br />HEIGH r LIMITATION <br />YES NO <br />nn <br />NO. OF DWELLING <br />APPROVED BY DATE <br />COMMENTS <br />UNITS <br />BUILDING <br />BLDGrF.I. SIZE GARAGE SIZE NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />NEW FIRE SPRINKLER REASON NEW FIRE ALARM REASON <br />REQ'D REQ'D <br />APPROVED BY DATE COMMENTS <br />r <br />VALUATION <br />PLAN CHECK FEE <br />FEES <br />BUILDING <br />WATER <br />SURCHARGE <br />_ SEWER <br />ADD PLAN CHK <br />SYS. DEV. <br />PLUMBING <br />TRAFFIC .MIT. <br />MECHANICAL <br />OTHER <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />TOTAL <br />