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� � <br /> F(�R OFFICE USE Oi11LV C r � �L �� <br /> BUILDING PLANNING � <br /> Olda(lVAddn/Rem Size 2 ��� Zoning Classificatic ��� � <br /> Garage Size 9 r Oveday/Agreement � <br /> VA' 7ATION Z Z3�y�j� q Nonresidenlial Use � <br /> No,of Sloiies Z Proposed No.of Oeielling Unils: <br /> Occupancy Group ��(� To�al No.of Dwelling Unils: <br /> Occupanl Load Landscapc or Pianning inspection <br /> Basement Yes_ No L Fin/Unf_ needed before(inal? Yes No <br /> 7ype af Construclion Pianning inspeclor. <br /> exslg Sprinkicr 5ystem? Yes No Unk Phone 11: <br /> Pire Sprink Reqd7 Yes No_ Approve ___ ale: J p <br /> Reason I-IisforicAppr9edby: Dale: <br /> I <br /> Fxsig Fire Alarm? Yes Mo Unk School Pdi�igalion Reqd? Yes_ No <br /> fire Alarm Reqd? Yes No Commerls: <br /> Reason _ <br /> CO Required? Yes No <br /> Enclosure (RCWG4.55) Yes No <br /> Approved by: Date: /2 // <br /> Commenls: ZO/L �/�G �i GIr�C <br /> L�--- <br /> FEES <br /> I'lan Check�ee <br /> f3uildiny Perrnil <br /> Surcharqe <br /> AdJitional Pian Cbeck <br /> Wafer <br /> Se���er <br /> Sysfcros Dev. Duc? Ycs No � <br /> Public Works <br /> Traffic Nitigation Uuc7 Ye; No Rcpt OP <br /> School Mitigalion Paid7 Yr.s__ No Dafc Pd <br /> ��� <br />