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FOR OFi ICE USE ONLY <br />PERMIT NUMBER �'�jc� a—(} � � _ <br />SITE AUDI2ES5 __ <br />LOT AREA FRONT SETBACK REAR SETBACK <br />�(�3 aa ao <br />N0. OF DWELLING APPROVED 8'i DATE <br />uNirs � � .UW �� �4' / �� <br />ZONING <br />SIDE SETBACK <br />s <br />COF.'AIENTS <br />BUILDINr <br />SUB•PERMITS <br />VACANT SITE USE ZONE HEIGNT LIMITATIOP! <br />YES NO � � �J C)� <br />O�r, ���-d <br />BLDG/T.I. SIZE GARAGE SIZE � NO. OF OCCUPANCY OCCUPANT BASEMENT TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO <br />� i� s F. ��3 s,�. _ a�s �� � �l`�-,� <br />NEbY FIRE SPRINKLER REASON NEW FIRE 4LARti1 REASON <br />RE�'D RE�'D <br />APPROVED BY DA7E COMMENTS ,Z DOr IU S�C- <br />, � 2�� f� /997 uB�- <br />� <br />VALUATION I ��� 5 7 £� <br />BUILDING <br />SURCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />PLAN CHECK FE <br />FEES <br />bVATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />'�/a <br />