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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification — t <br /> Garage Size Overlay/Agreement <br /> VALUATION 4 1. 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 'NOV—Fin/Unf needed before final? Yes No <br /> Type of Construction I li — 13 Planning Inspector: <br /> Exstg Sprinkler System? Yes No_Unk_ Phone#: <br /> Fire Sprink Reqd? Yes ✓No_ Approved by: Date: q Ly <br /> Reason5T EUn <br /> Historic Approved by: Date: <br /> Exstg Fire Alarm? Yes V/ No _ School Mitigation Reqd? Yes_ No <br /> Fire Alarm Reqd? IYes No Comments: <br /> Reason <br /> CO Required? Yes No <br /> Enclosure(RC 64.55) Yes No <br /> Approved by: A A Date: <br /> Comments: <br /> FEES <br /> Plan Check Fee <br /> Building Permit to 7 <br /> Surcharge <br /> Additional Plan Check OA- <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No 10 Z`q <br /> Public Works Zfe27th <br /> Traffic Mitigation Due? IYes No Rcpt# <br /> School Mitigation Paid. es No Date Pd <br />