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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size o68� SF Zonin qassification <br /> Garage Size 3� —SF Oveday/Agreemen� <br /> VAWATION Nonresidential Use <br /> No.of Stories Z Pro osed No. of Dwellin Units: <br /> Occu anc Grou Q�L{ To�al No. of Dwellin Uni�s: <br /> Occupant Load Landscape or Planning Inspection <br /> Basemen� Ves_ No�'Fin/Unf_ neededbeforefinal? Ves_ No <br /> Type of Construction Plannin Ins ector: <br /> Exstg Sprinkler System? Ves No Unk Phone#: <br /> Fire S rink Reqd? Ves_ No_ A roved b : Date: <br /> Reason HistoricApprovedby: Date: <br /> Exst FireAlarm? Ves_ No_Unk_ SchoolMiti ationReqd? Ves No <br /> FireAlarmReqd? Ves_ No_ Commen�s: <br /> Reason <br /> CORequired? Ves No_ <br /> Enclosure (RCVJ64.55) Ves_ No <br /> A roved b : Da�e' 4�� �S�' <br /> Comments: zo�Z ��G �, (.(/J�C <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Wa�er <br /> Sewer <br /> Sys�ems Dev. Due? Ves No <br /> Public Works <br /> TrafficMi�igationGue? Ves No Rc t# <br /> School Mi�iga�ion Paid? Ves No Da�e Pd <br />