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PERMIT NUMBI:R <br />SITE Af:DRE£:; <br />LOT AREA <br />NO. OF LWELLING <br />UNITS I <br />t <br />ZONING <br />FRONT SET�ACK RFAR SETBACK SIDE SETBACK <br />BV DATE <br />BLDG/T.I. SIZE �Af1AQE SIZE I N0. OF <br />�I ^ STOfiIES <br />�_ <br />NEW FIRE SPRINHLER fiEA50N <br />REQ'D �v � <br />APPROVEDB ' DATE <br />/ �I� /; -„2 --/ - 2 <br />VALUATION <br />BUILDING <br />SURCHARGE <br />ADJ PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPRINNLE <br />PUBIIC WORKS <br />COMMENTS <br />�J 11; <br />SUB•PERti11TS <br />VACANT 511E I USE ZONE HEICiHT LIMITATION <br />vr'I NfCY I I�11- 1 /�1 r <br />Ccl <br />BUILDING <br />OCCUPANC'I OCCUPANT BASEMENT TVPEOFCONSTjiUCTiON <br />3 UP LOAD YES NO / <br />- 5 N,1 �/-;v <br />NEW FIFE ALARM REASON <br />REQ'D <br />hJ J <br />COMMENT; <br />P�_1N CHECK FEE ����i � `� � <br />FEES <br />WATER <br />SEWER <br />SVS DEV. <br />TRAFFIC MIT. <br />OTHER _ <br />TOTAL __ _ TOTAL <br />/ L � � _ � � / ,,.._s /.�LIQ� <br />l� �/�-O 6C �CP!'C n'r«'L 7 <br />� � \ � �6t � n-i. '._. <br />� � �g � --y�n r_E..�: c � � � �.ti�� �c 1t.�'� r �`-t' �i ��� ��1— <br />