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FOR OFFICE USE ONLY <br />BUILDING <br />Bld /rl/Addn/Rem Size <br />A <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy GroupZ <br />Occupant Load <br />Basement <br />Yes <br />NoLl-Fin/Unf <br />Type of Construction <br />— 3 <br />Exstg Sprinkler Sys <br />Yes <br />No Unk <br />Fire S rink Ra d? <br />Yes <br />No �! <br />Reason <br />Exslg Fire Alarm? <br />Yes <br />No ✓ Unk <br />Fire Alarm Re d? <br />Yes <br />No " <br />Reason <br />CO Re ulred7 <br />Yes <br />No <br />Enclosure RC <br />4.55 <br />/V <br />Approved b <br />Dale: <br />2 - <br />Comment . <br />Check <br />Check <br />PLANNING <br />ZoningClassification <br />Overlay/Agreement <br />Nonresidential Use <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone M <br />Approved b : Date: L) 17 I <br />Historic A proved by: Date: <br />Comments: <br />