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FOR OFFICE USE OtvLY <br />y ., aa --o�! <br />PERMITNUMBER L i� �I �) ��,- C?i'1 J SUB-PERMITS <br />SITE NDDRESS �-1 � a ��` S 4 <br />ZONING <br />LOTAREA i/ FRONT SETBACK REAR SETBACK SIDE SETBACK <br />A�T,C�'((n � � Z� � �, �� ; <br />NO. OF DWELLING P.PPROVED BY DATE COM�dENTS <br />UNITS <br />n �� �,�}z,�" ul�t�t n` h� � <br />VACANT SITE I USE ZONE I HEIGHT L�MITATION I <br />YES NO <br />BUILDING <br />BLDGrf.l. SIZE GARAGE SIZE NO. OF OCCUPANCY CCCUPANT BASEMENT 'IYPE OF CONSTRUCTION <br />STORI[S GROUP LOAD YES NO <br />�7�i�� S;F 7�; z r c{ _ <br />NEW FIRF SPRINKLER REASON NEW FIRE ALARPd REASON — <br />REQ'D REQ'D <br />ENGLOSURE APPROVED B� / DATE I CO�;MENTS L JJ6 �/ZG� � Sr � y' �NS V/ �7 n�- <br />VALUATION ��v ��3 <br />BUILDING <br />SUNCHARGE <br />ADD PLAN CHK <br />PLUMBING <br />MGCHANICAL <br />SPRINKL6 <br />PVBLIC WORKS <br />TOTAL <br />PLAN CI'�CK <br />FEES <br />WAT[R <br />SEWER <br />SYS DEV. <br />TRAFFIC MIT. <br />OTHER <br />TOTAL <br />u <br />