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� • <br /> �a�� o�Fic��us� ani�.v ctSG� -Gc� <br /> �'R¢�—_� BUILDING �� PLANNING <br /> �Idg(TI/AddnlRem Siza __� ],s�f G � Zoning Classification ���^TLJ`l 'c <br /> Garage Size 3 7Z ,�� OverlaylAgreement <br /> VALUATION 2Z5 7 NonresidentialUse <br /> _ �... . - <br /> No.of Slories Z Proposed No.of Dwellinq Units: <br /> Occupancy Group �QJ(,{ Total No.of Owelling Unils: <br /> Occupant Load Landscape or Planning Inspecllun <br /> �asemenl Yes__ No 1C Fin/Unf needed before final? Yes__ No <br /> Type of Construc�ion g Planning Inspector: <br /> [xstg Sprinklcr Syslem7 Yes No Unk Phone;l: <br /> Pire Sprink Reqd7 Yes ��o Approvecl by: ' �ate: <br /> Reason Hisforic Appr d b . Dafe: <br /> f_xs19 Fire Alarm? Yes___ No__Unk School Mitigalion Reqd? Yes__ A!o <br /> FireNarmReqd9 Ye; No Commen�s: <br /> Reasan <br /> CO Required? Ycs__,_ No_ <br /> Enclosure(RC4V64.55) Yes_ No__ <br /> Approved 6y: Dale: / L7 /S <br /> Commenis: 20/Z /�G ,�i �jtJS�G <br /> FEES <br /> Pian Chcck Fco <br /> f3uiWing Permit <br /> Surchargc <br /> Addilional Plan Check <br /> V�/alcr <br /> $L'Y/Cf <br /> Sy,�c:ins Dev. Due7 i Yes No_ <br /> Pubtic Works � <br /> Traffic Mitigation Dur.7 Yes No,__ Rcpl tF <br /> School Miligation Paid7 Ycs___No„_ . Dalc Pd ___ _ <br /> L��, <br />