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1 <br /> , � x <br /> i <br /> FOR OFFICE USE ONLY �j(A� L�'C��S 'CtiC�7 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ��� Zoning Classification 12-�. <br /> Garage Size Overlay/Agreement �,d � <br /> VALUATION Nonresidential Use ��— <br /> No. of Stories �� Residential Use <br /> Occu anc Grou r�- <br /> p y p L Proposed No. of Dwelling Units: <br /> Occupant Load h- �� Total No. of Dwelling Units: <br /> Basement Yes No��Fin/Unf Landscape or Planning Inspection <br /> Type of Construction �- i�i needed before final? Yes No <br /> Exstg Sprinkler System? Yes No '� Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No ✓ Phone#: <br /> Reason Approved by; z.� Date: }7, c � <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No � School Mitigation Reqd? Yes No <br /> Reason / Commenis `�it/`r �C.-Z.� /'�-c�4� � <br /> _ __ _-- __ � _ <br /> Enclosure (RC 64.55) Yes� No <br /> Appioved by: /71�. Date: ------_ -- <br /> Comments: � <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Public Works <br /> TrafFic Mitigation Due? Yes No Rcpt# <br /> �I� <br />