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� f � � <br /> �=OR 0��1��' �IS�'�f�lL,�" � l�(���C�SS <br /> BUILDING PLAfVNING <br /> BIdg/TUAddn/Rem Size � �� Zoning Cfassificafion <br /> Garage Size Overlay/Agreement ' <br /> VAlUATION ��D C��?�7 Nonresidenfial Use <br /> ` No.of Stories � Proposed No. of Dwelling Units: <br /> � <br /> Occupancy Group �-�- � � °� ,, Total No,of Dwelling Unifs: <br /> Occupanf Load �(� Landscape or Planning Inspection <br /> Basement Yes No Fin/Unf needed before final? Yes � No <br /> Type of Consfruction `;�'' � Planning Inspecfo���-�Y��'-�_ <br /> .,— <br /> Exstg 5prinkler System7 Yes No Unk Phone#: � �� ,�� <br /> Fire Sprink Reqd? Yes No Approved by: � Date: 'v ? -�S <br /> Reason Hisforic Approved by: Dafe: <br /> Exstg Fire Alarm? Yes No Unk_ School Mifigation Reqd? Yes_ No <br /> Fire Alarm Reqd? Yes No Commenfs; <br /> Reason y�o L,J�j�;��,._ <br /> CO Required? Yes t/No • <br /> Enclosure(RC 64.55) Yes No � <br /> Approved by� Date:9 — !� � � ' ` <br /> , <br /> Commerrf . � <br /> � FEES PUBLIC WORKS <br /> Plan Check Fee ,5 S��. Review Re uired? Yes ;,+� No <br /> BuifdingPermit C -�75 Reviewer: Date: /�-�/S <br /> Surcharge •5 V Comments: <br /> Additional Plan Check -� `s f��Q'"� e'�' � <br /> Water l 57F1 i.�-- �C1.5� �+.�sc' �s' �ive.I�.Siol� �c�c'{� <br /> � Sewer � S`f7� �IOP��X. 10 v�ce. � /'d �'C��S <br /> Systems Dev. Due? Yes No �¢ !.[.�C✓'�_ tioc.<SrK� • <br /> Public Works �(Gj Q-llJ_� � ,,,�/z �� <br /> . TrafficMitig tionDue? Yes No Rcpt# ��/`��`� US`' �f ��'r�`� �L�� <br /> _ L � w- �U- �? Z-G ��;�'�'c�`�r��c�'rh� �( <br /> School Mitigation Paid? Yes Date Pd �P��c.,X� �� ��c�%��° �'�' �'�f'`fG4%t I <br /> �����;� /11�� �S°�, cl�.v'�Q�; �.�L���� <br /> �Z <br />