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FOR OFFICE USE ONLY 1 I`t D 3~cy,� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Proposed No. of Dwelling Units: <br /> Occupancy Group Total No. of Dwelling Units: <br /> Occupant Load Landscape or Planning Inspection <br /> Basement Yes No_Fin/Unf_ needed before final? Yes No <br /> Type of Construction L L r r) Planning Inspector: <br /> Exstg Sprinkler System? Yes_ No_Unk_ Phone#: <br /> Fire Sprink Reqd? Yes No Approve a e: (� / <br /> Reason Historic App ved Date: <br /> Exstg Fire Alarm? Yes No Unk School Mitigation Reqd? Yes_ No <br /> Fire Alarm Reqd? Yes No Comments: <br /> Reason <br /> CO Required? Yes No <br /> Enclosure (,' W64.55) Yes No_ <br /> Approved bey: Date: _ v <br /> Comment . <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Public Works <br /> Traffic Mitigation Due? Yes No Rcpt# <br /> School Mitigation Paid? Yes No Date Pd <br /> �l Z- <br />