|
PEt�[UIIT#
<br /> �`�.���:����`�`�'.�C�.�'L� �
<br /> . _ " - �-BIJ.tI.:tiIN��_ � - - - . _ .}?�:Ai�1VI1V�' - � .- '� r
<br /> . . . _. _ _ .�..... . . �. .� . _
<br /> . . . ._, � .:: .
<br /> , � � ` .. ..
<br /> • B1.dg�T'i'/A�idn�Rein Si�e � ` � i • �oninj Glassif' fioc� ,,,_ �
<br /> Garage Size ` L)verlaylAgreement ' .
<br /> V.�I..�3.A,TZOIV Nonresidential Use �Y�Q �Csy, .
<br /> No.of Stories Residential Use - ` ;�• . r
<br /> ''"� 'f3ccupancy Group y ;r' •� . s. ' • ' 1�r�p��ed l�o,,flf.Dvi'r�tiing Units:
<br /> t, ,� Qccupant Lq�t( , ' , q.,, Tof�I No.of Dwe�lmc�-t'Jnits: f
<br /> k �8asement}� � � • � `f�e.s_� f�o W._+ *FinlUnf Lars�`�ca�e o"r�'Iariniirg Inspec�"c�ii1' " , ,
<br /> 3ype of Cons�n.tction.. � needed before�naI? ' Xe's`'•'- No
<br /> _.... ._..,_._..,:,_ ..._._..._._.._—z,....._. .__. _.. _... _ ...
<br /> Exs#g Sprinkler System� Yes No Unl�_ #�tanning Inspe�ta�: � �
<br /> Fire Sprink Reqd? Yes No ' Phane�:
<br /> ' Reason Approved by: Date: .�- 2 (�0
<br /> Exstg�ire Fllarm? Yes Na . Unk • Historic Approved by: Da#e: .
<br /> � A .1 4.. '. .
<br /> Fre Alaa�m Reqd? YYes. '�` �1'0. .. Schoot Mi#i�ation Reqd? Yes No
<br /> ,��:., . ,-':,� — �� .—. — —
<br /> � Reasort ' . ;_� , �veret�School Dist Mt�tdl�eo�chbolqDist.
<br /> ` ��" �nc!'.6sUre�(1'���6�'.'t�� '�'°es "��I�Ia� ,"� . #of�Iet Neav Units: ' } .'~
<br /> �i � ,: ,.,
<br /> ApPra���Y=. 1���: Gatcuiated School Irripact Fee:
<br /> :>
<br /> Gorrrmenfs: p '''`' `�•r • School impact Fee Gredi� `' �
<br /> . ...
<br /> Totat School Irr3�pact Fes Ovlred: '
<br /> . . - Comrnenfis: ,� �,�� �,�\ ��
<br /> � k �' Y. .'?, 1 ,' y..�V � #Y � . (r.'
<br /> . . �.:��..� . ,h f' � �3. , i��i.�, t,Ri,.. + � ��.' �� � ..
<br /> � °• j t . �t, y� ... '�. > ; 1 S�^.S �, fe� � `�, -. . ,.
<br /> "* � - . . s��,� . �J.,�.�s ' ; ., t,� �" t +. �ti� � :{$.W+tS`m��S1A � , -i��"J�a �Pr�� «. ,i,� � �'�1, t`'+
<br />. . ., r�� r � . <', ,
<br /> . 4 . � ',�'� t �,.'.
<br /> . a� y y
<br /> ... ..ti r �"Cb�'+#en- . . .. - _ . .. {+. Ni.•' Yts1a:W'•:-^ ' •_l �
<br /> . ' � .�EES: • -. . � . . - =t?llBl;IC�INURK�:`:' - ' . ,
<br /> P1a�Check Fea PW P�rmit Required? Yes N
<br /> Building Fexrr�i� fake Ghecked By: �\ Dafie:
<br /> Sureharge • Go menfs: �-
<br /> Addi�ion�[Plan Gheck .
<br /> . Plumbing�ee
<br /> Mechanicat Fee � '
<br /> PJng 81dg Review ��e �
<br /> Wa�er 1=ee _ �,; ees:Yes/No a�ion,Permi�#'s, moun�
<br /> S�wer Fee � Water Fe . / 5ev,�er Fee? _
<br /> Systems Dev. Fee / ��., � � �—\�
<br /> �Traffic MitigatPon Fee � � � ��
<br /> Public Works Fee stem i7e'v.�ee? Traffc Mitiga on Fee?
<br /> ��
<br /> Scnoo!Nlifigation Fee �\�
<br /> . i
<br /> . �� . ,
<br /> . __�__ .
<br /> . � d
<br /> ' ' , ' , � . . � � . 1}_' ,
<br />
|