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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size / �t Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group �j - Proposed No. of Dwelling Units: <br /> Occupant Load 3 Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction - needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes—Z No_Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes AL No Phone#: <br /> Reason 5�L Approved by: Date: <br /> Exstg Fire Alarm? Yes No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No tl School Mitigation Reqd? Yes No <br /> Reason 5-� t- Comments: <br /> Enclosure(R W64.55) Yes No iz <br /> Approved by: Date: - <br /> Comments: i <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 /> �f <br />