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FOR OFFICE USE ONLY <br /> BUILDING ZONING <br /> Bldg./T.I. Size Lot Area <br /> Garage Size Front Setback N.)P< <br /> VALUATION Rear Setback t <br /> No. of Stories Side Setback it <br /> Occupancy Group Vacant Site Yes_ No� <br /> Occupant Load Use Zone 6"\ <br /> Basement Yes_ No_ Height Limitation c <br /> Type of Construction No. of Dwelling Units d\ A• <br /> Fire Sprink Reqd Landscape/Planning Inspection <br /> Reason needed before ? Yes_ No <br /> Fire Alarm Reqd Approved by' Date Z .1 �-5 <br /> Reason Comments 4t9 of o r £}�' y�5'� <br /> 1.41Gi1fR —z( KcPvt°— <br /> CO Required? �� .� <br /> Enclosure(RC 4.55) <br /> Approved by 4 Da_)s i <br /> Comments: <br /> D4 <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge _ <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Development <br /> Public Works <br /> Traffic Mitigation <br /> Other <br /> 2 <br /> I <br />