BP-495871. Date plan reviewed:
2. DENIED ,(see project review worksheet):
Date:
3. HOLD
Reason: Date:
4. HOLD subject to Zoning Board of Appeals action: Date:
Comments:
oll/ASzV 7
Inspector`s Signature: Date: f
Less Application Fee: $25.00 Remaining Balance: $��
Total Permit Fee: $ . 2?
Other $ Amount $
TOTAL FEE: o , Gross Area - New Construction total sq. ft.
Gross Area - Alteration total sq. ft.
Permit Issued to:�
S/r r '.
❑ CONSTRUCTION PLANS ❑ SITE PLAN ❑ENERGY;= REPORT