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( <br />FOR OFFICE USE ONLY <br />PERMI I NUMi�ER C�30 P^OOCp <br />SITE ADDRESS — <br />1.01" AREA FRONT S� 'DACY. REAR SETBACK <br />(�,7�g� gta � <br />NO. GF DWELLING APPROVED BV OATE <br />�N,TS � d'w YI / /� � <br />ZONING <br />SIDE SETBA^.K <br />5� <br />COMM[NTS <br />I <br />SUO-PERMITS <br />VACANT SITE <br />YES NO <br />USE ZONE HEIGH7 LIMi fATION <br />�-� 7St� <br />BUILDING <br />OLOG/T.I :�IZE GARAGE SIZF I NO OF �OCCUPANCY I OCCUPANT I BASEMENT I TYPE UF CONSTRUCTION <br />STOfiIES GROUP LOAD i YES NO <br />19 35 S F, 09 . � <br />NEW FIRE 51'RINKLER REASON <br />RFO'0 <br />17c\IA <br />VALUATION I 3 7 G°i % <br />BUILDING <br />SURCHARGE <br />ADO PLAN CHK <br />PLUMBING <br />MECHANICAI <br />Sf'RINKLE <br />PUBLIG WORKS <br />TOTAL <br />Z �•3 �-r � <br />NEW FIRB ALARM RCASON <br />REO'0 <br />COMMENTS IS�%�� UB� ZC�I <br />PLAN CHECK FEE �� I <br />FEES <br />WAIER <br />SEWER <br />SYS DEV. _ <br />7 MFFIC MIT. <br />OTHER <br />TOTAL <br />2/ <br />29-1,� -9 -.5� <br />9,PZU8 <br />