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r-- <br />FOR OFFICE USE ONLY <br />3 -g�a 7 <br />PERMIT NUMBER (,U'�p � -G�7�� SUB-PERMITS <br />SITE ADDRESS � O S 2I � Q,'�. f� "" <br />, LOT ARE-A f-RONT SETBACK REAR SETBACK SIDE SET6ACK VACANT SITE USE ZONE HEIGHT LIMITATION <br />I � WlJ L 2b 2� S YES NO �' � � C/ / <br />��8 <br />I NO. O DWELLING APPROV[D 6Y DATE COMM[NTS <br />� UfJITS ' � ^ " h <br />� e�V v <br />BUILDING <br />i BLDG/TJ SIZG GARAGE SIZE HO OF OCCUPANCY OCCUPANT BAS[M[NT TYP[ OF CONSTRUCTION <br />� STORIES GROUF LOAD YES NO <br />�' G�rd E S,f �" `f 2 /z�l,j [S' � <br />NEW FIRE SPRINKLER REAS0IJ NEW FIRE ALAI2M R[l�SON <br />IREO'0 REU'D <br />I APPROVF PY DA�iF COMMFNTS Zc7�J I2c g-' �i1✓�'�-RC <br />' � Z�Z 3� % `Z �'JO �/ t/.( �.L- <br />VALUATION �8�; yZ'y <br />I <br />I <br />� DUILDING <br />� SURCHARG[ <br />i <br />i ADDPLANCHK <br />PI.UMf31NG <br />� M[CHANICAL <br />tiPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK FEE <br />FEES <br />WATER <br />SEWER <br />SYS. D[V. ` C' �� <br />(� i <br />TRAFFIC MIT. 1�� <br />�J <br />OTIIER <br />TOTAL <br />2/� <br />