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FOR OFFICE USE ONLY <br />PERMIT NUMBER _ i r" � r,7 �� (JS <br />SITE ADDRESS — <br />LOTAREA FRONTSETBACK RFAR SETBACK <br />, <br />� G> c� <br />J � � � �-� <br />N0. OF DWELUNG APPROVED BV DATE <br />UNITS � 7—1 � e� '/ iIII �/t% / <br />/�/ J�0.- <br />BLDGlT.I. SIZE GARAGE SIZE S ORIES <br />C_�,✓'�.. 5�. �r S 5 Y. � <br />NEW FIRE SPRINKLER REASON <br />REQ'D <br />zeNONc <br />SIDE SETBACK <br />5 <br />COMMENTS <br />SUB-PERMITS <br />Vl�CANT SITE USE ZOIVE HEIGHT LII.IITATION <br />YE�O � i /,�C1 � <br />r-i I �. I <—�� <br />BUILDING <br />OCCUPANCY OCCUPANT 6ASEMENT � TYPE OF CONSTRUCTION <br />3ROUP LOAD YES NO <br />� L( T^ C <br />NEW f IRE ALARM REASON <br />REO'D <br />APPROVEDBY , DATE ICOMMENTS L �'�=C- i�«- <br />VALUATION <br />BUILDING <br />SURCHARGE <br />A�D PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINKLE <br />PUBLIC WORKS <br />TOTAL <br />� <br />�iz�.�5� <br />pLAN CHECK <br />FEES <br />WATER <br />SEWER <br />SYS. DEV. <br />TRAFFIC MIT. <br />UTHER <br />TOTAL <br />, �y'�`:C_ <br />�l'SVi�}CxC_ `� <br />> <br />�/z <br />