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FOR OFFICE USE ONLY <br /> BUILDING r' PLANNING <br /> Bldg/TI/Addn/Rem Size 440 0 Zoning Classification <br /> Garage Size ` Overlay/Agreement <br /> VALUATION '1 1 tk 8 0 Nonresidential Use <br /> No.of Stories { Total No.of Dwelling Units: <br /> Occupancy Group rg Landscape or Planning Inspection <br /> Occupant Load 4needed <br /> _ / before fins e No <br /> Basement Yes_ No v Fin/Unf Planning Inspe :'�i,L- <br /> Type of Construction tie 1) Phone#: <br /> 1 <br /> Exstg Sprinkler System? Yes_ No Unk Approved • : /A, Date: Y 7 (5 <br /> Fire Sprink Reqd? Yes_ No J Historic Appr.lid b ! Date: <br /> Reason Comments: <br /> Exstg Fire Alarm? Yes_ No 'Unk <br /> Fire Alarm Reqd? Yes_ No <br /> Reason <br /> CO Required? Yes_ No <br /> Enclosure(RC .55) <br /> Approved by: ate:5_)t ► (J <br /> Comments <br /> FEES <br /> Plan Check Fee ,A 1 <br /> Building Permit No P vj <br /> Surcharge ( <br /> Additional Plan Check <br /> Water ptx �✓R <br /> � <br /> Sewer \(5 13, <br /> Systems Development <br /> Public Works <br /> Traffic Mitigation <br /> Other <br />