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FOR OFFICE USE ONLY <br />BUILDING <br />Bld RI/AddnSize <br />Garage Size <br />�r 6 O S F <br />VALUATION <br />3S $ 2 <br />No. of Stories <br />occupancy Group <br />Occupant Load <br />Basement <br />Yes <br />No Fln/Unf <br />Type of Construction <br />Ezstg Sprinkler System? <br />Yes <br />No Unk <br />Fire S rink Red <br />Yes <br />No <br />Reason <br />Exstq Fire Alarm? <br />Yes <br />No Unk <br />Fire Alarm Red <br />Yes <br />No <br />Reason <br />CO Required? <br />Enclosure RCW$4.55) <br />,Approved by d' <br />Date <br />23/3 <br />Comments: ZPO5 <br />/rr!G <br />Plan <br />Plan Check <br />Works <br />B r3os-oo y <br />ZONING <br />Lot Area <br />Front Setback <br />20 r <br />Rear Setback <br />I <br />Side Setback <br />I <br />Vacant Site <br />Yes No <br />Use Zone <br />Height Limitation <br />r <br />No. of Dwelling Units <br />1 5t^12 <br />E��S <br />Landscape I Planning Inspection / <br />needed before final? Yes No V <br />Historical Overlay Zane? Yes N <br />Approved by A9Date <br />Comments: L <br />Vl^LKM f� <br />)V1zr <br />(w0 all u Vll} - <br />Iwunn hmMt of Zo'. <br />a <br />fl�N� <br />2o�io52�v3`�- <br />21) <br />