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' ���q�ok <br />P[RMIT NUMBEP �� � Ip D-I - O I� <br />51TE ADDRESS � b �' 1 �,� � St S�/ <br />LOT ARE1 FRONTSETBACK FEARSET�ACK <br />;'�!� IU <br />N0. OF OWELLING APPROVED BY DATE/ <br />UNITS � .er ... <br />SUB-PERMITS <br />ZONING . <br />SIDE SET�ACK VACANT SITE <br />�J ' S� L� IO, YES NO <br />COMMENTS <br />BUILDING <br />USE ZONE HEIGHT LIMITATION I <br />C' � Sv I <br />�LDG/T.I. S�ZE GARAGE S12E NO. OF OCCUPANCY OCCUPANT BASEMENT NPE OF CONSTRUCTION <br />STOFIES GiiOUP LOAD 1'ES NO <br />;/ : � o�� � -� a �o � - B <br />NEW FIRE.^�PRINKI.ER F7EASON NEW FIHE ALI�RM REASON <br />REO'D �� RLO'q , <br />'' , �„ i iF � �i �'r. <br />APPFOV D BY DATE COMMENTS <br />� A � _ �,. <br />VALUATION �.� "� � . �r'� <br />�UILOING <br />SURCHARGE <br />� ADD PLAN CHK <br />PLUMBING <br />� <br />I MECHANICAL <br />SPRINKLE <br />� PUBLIC Vl0�7KS <br />'I TOTAL <br />� <br />PLAN CHECK FEE G�`� 7 G� <br />� ' � � %lJ in:,:: � . <br />FEES �, . : , , � � / . � � - �,. , � <br />WATER ,l'Xl_:Jinf �,l.��i�.a' � / �� <br />r Q'T- <br />SEWER %� — � <br />SVS. DEV, <br />TRAFFIC MIT. :I �i �% � �� <br />OTNER <br />TOTAL <br />' � . . � �� �,� � ," ( - ��: /1 `��� � � � �7 <br />/ . �� • <br />�2 <br />