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� <br /> l� ( � (.'_ uu�� <br /> FOR OFFICE USE ONLY I Z/3 --/'Z <br /> /�3� �.Z ; � S� <br /> BUILDING ZONING <br /> Bld ?I. Size Lot Atce <br /> Garege Sizo Front Setback <br /> VALUATION RearSelbadc �,� ��� <br /> No. ol Slories Side Setback <br /> Oocu anc Grou 1.� Vacani 5ite Yes No �� <br /> Ocw nt Loed Use Zone ' �.� <br /> Basemenl Yes No He� hlLimdat�on '•l � l��'�i'VE c,�� �� (����� <br /> T olConstruction � t , No nffMellla Units -�1�� <br /> 1V <br /> Fire S nnk R d Land�upe/PNnnlnp In�pecUon / 1, ��,x <br /> Reason �eeded beloraflnal7 Yes No�/ <br /> Fire Alartn R d A roved b - Date h <br /> Reason Comments� <br /> CO Ra ulrad9 <br /> C���1= u����ri,_. ��;I��1 -�02 - ��i - <br /> cnGosure RC .55 <br /> A ro��od b " �` � Dete � ' <br /> Commmds�.� . <br /> FEES <br /> Plan Check Fee <br /> Bwldin Pertnit <br /> Surchar e <br /> Adddional Plan Check <br /> Weter <br /> Sewer <br /> S stems Development <br /> Public WoMs <br /> Troffic MIt ation <br /> Other <br /> � <br /> / r <br />