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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> 61dg/TI/Addn/RemSize 2,3�2. Sf ZoningClassifcation <br /> Garage Size $F Overlay/Agreement <br /> VALUATION 2.�$ 7Fjz, Nonresidential Use <br /> No. of Stories Z Residential Use <br /> Occupancy Group !.� Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units'. <br /> Basement Yes NoA' Fin/Unf LandscapeorPlanninglnspection <br /> T pe of Constmction needed 6efore final? Yes No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector'. <br /> FireSprinkRe d? Yes_ No Phone#'. <br /> Reason Approved by. Date: <br /> Exstg Fire Alarm? Yes No Unk Historic Approved b '. Date: <br /> FireAlarm Reqd? Yes No School Mitigation Reqd? Yes No <br /> Reason Comments'. <br /> Endosure(RCVJ64.55) Yes_ No <br /> Approved b : Date: 4�Z {¢ <br /> Comments'. ZOLZ /2G � W�� <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 /> TrafficMitigationL�ue? Yes No_ Rcpt# <br />