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FOR OFFICE USE OIVLY ��y�p _D20 <br /> /0 -7`-�� <br /> BUILDING � °LANNING 1� <br /> Bldglfl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay;Agre_ment <br /> VALUATION Nanresidential Use <br /> No.of Slories Proposed No. of O:�ellin9 Units: <br /> Occupancy Group Total No.of Dwelling Unils: <br /> OccupanlLoad Landscape er Planninglnspection <br /> Basement Yes No Fin/Unf needed beforefinall Yes_ No <br /> Type of Construclion Plarning Inspector. <br /> Exs�3 Spriakier System? Yes__ P!o_Unk_ Phone#: '. <br /> fire Sprink Reqd7 Yes No Approved by: Dale: <br /> Reason Hisforic Approved by: Date: <br /> Exstg Fire Alarm? Yes_ No_Unk_ School Mitigation Reqd? Yes__ No___ <br /> Fire Alarm Reqd? Yes_ No Comments: <br /> Rcason <br /> CO Required7 Yes_ �Vo_ <br /> Enciosure(RC J64.55) Yes__ No_ <br /> Approved b/: Date: � — — ! <br /> Com,nenls:�' <br /> J <br /> FEES <br /> Pian Ch�ck Fee <br /> Bui�ding Permil <br /> Surchargo <br /> Addilional Plan Check <br /> Waler <br /> Sewer <br /> Syslems Dev.Due7 Yes__ �'o_ <br /> Pubiic Works <br /> Traffic Mitigation Due? Yes_ No._. Rcpl l� _ <br /> SchooiMifi�allonPaid? Yes__ No_ DatePd <br />