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FICE USE ONLY <br />� � �G n -��c- <br />BUILDING <br />Bldg/TI/Addn/Rem Size '�..� �+ <br />Garage Size <br />VALUATION <br />No. of Stories I 1` <br />� <br />Occupancy Group j <br />Occupant Load Z � <br />Basement Yes No Fin/Unf <br />Type of Construction �- �� <br />Exstg Sprinkler System? Yes v No Unk <br />Fire Sprink Reqd? Yes � No <br />Reason � f--�<�. <br />Exstg Fire Alarm? Yes� No Unk <br />Fire Alarm Reqd? Yes No <br />Reason " .� �-� L� <br />CO Required? Yes No <br />Enclosure (R W64.55) <br />� <br />Approved by: Date: � --:� 3 -1 <br />Comments:� <br />� <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 />PLANNING <br />Zoning Classification � <br />Overlay/Agreement <br />Nonresidential Use <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />Comments: ; �i����� ���� �� <br />� i � <br />l7 U !2"[� �— <br />, � i ;��'/.�/� �" � / � <br />� <br />�lz <br />