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Ct5o1 -o15 <br /> FOR OFF/CE USE OIVLY <br /> + BUILDING J� � PLANNING <br /> BIdGf�l/AddNRem Sizc 2/�O �� Zonfng Classification <br /> GaragaSize 4Q0 rjL Gverlay/Agreemznt <br /> VALUATION Z(3 $ Nanresidential Use <br /> No.oF Slories Z Proposed�Vo.of O�;relling Unils: <br /> Occupanc�Group /�- �il Tolal No.of Dtiveiling Units: <br /> Occupan�Load Landscape or Planninglnspecfion <br /> Basement Yes No��Fin/Unf needed be(ore final7 Yes hJo <br /> Typc of Ccrsfruclion �fS' _ Planning Inspecfor. <br /> E.slg Sprin4ler S,s;em? Yes Plo l�nk Phone;i: <br /> Fire Spr'nk Reqd7 Yes No_ Approved Dalz: Z � / <br /> Reason HisloricAppr �a by: Dafe: <br /> Exsfg fire Alarm7 Yes__ No Unk School�4litlgation Reqd? Yes___ No <br /> Fire;l�armReqd7 Yes i�'o Comments; <br /> Reason <br /> CO P,equirad? Yes ��b__ <br /> Enclosure(RC4V�4.55) Yes No <br /> Approv�dby: Date Z7 S <br /> Com�nenls: ZOIL /RG � {'j/S�C <br /> FEES <br /> Plan Check Fca <br /> f3uilding Permit <br /> Surcl;a:gr . <br /> Additional Plan Check <br /> Waler <br /> Serrer <br /> Syslems Dev. Due7 Yes ��o � <br /> Public Worrts <br /> . Traf tc�.litigalion Due7 Yes____ No Rcpt tF <br /> School t�4ifigation Paid7 Yes ��o Date Pd <br /> lZ <br />