Laserfiche WebLink
.�.- .r.�.......�. <br /> •- � , � . � � DOILDINf: PERIyIT APPLICA'!'20N � /�?�/'�i <br /> . . ApplicanG To Complete Thie Form <<� <br /> ♦ <br /> • � It oora than one buildinq is to be contructed, submit a se arate ��/� I�/ <br /> tlot� for each building. A se arate P permit app»ca <br /> . P permit will be issued for each build�:u�, <br /> , a°�r � C " " ` " '0j�__ Duildinq Address c.c ` � <br /> �� � 1( c, a u.�: <br /> , � . �ddress 2 `�° � � � :'_ vt�,� Lot_/ - �v Hlock _ 2 �/ <br /> • CltY V � t' r � � PAone_ � ��� � . f 7� <br /> � 3 5 � Subdi4ision (Plat) L , G� ,- � � r C l <br /> � • � <br /> _ - lrcIIitect/Enqineer � . <br /> ' :. I �.`(�. ��io Gt . . - <br /> - � ti �=i �LY Phone Netes i Hounds (Unplatted) . <br /> - :. Oontract�r ' <br /> ` — Sec. 'lrp, gQe <br /> _ , �ddress <br /> ^'; Citp Phone Buildinq Usn �r c� `� a q : � <br /> -- - State License N�bez " �—�� ��� <br /> , . _ .'? Describe work to Be DonQ r-„ ,�,,� E .,Z' �' <br /> ; � i E=piration Date . � .� r �L l � . <br /> C (n V\ c 4 <br /> `�. � SEETCH PLOT PLA.N BELO[9' • _ <br /> . ' i . . <br /> , . <br /> � _ Ose of Huildinq �r 0. Y �� 4 � ' <br /> � . • �."� � � : � - - . . . . IINew ❑ Addition Q,Repair— /g�1 . <br /> - � . � Valuation of Construction 5 � � ' <br /> . r , <br /> = ' - • - BLOx r� ttsQviu�rtevTs �j"�X��— <br /> . � � � HE <br /> , �. - �� ; , - � � . � . IOdicate lot size, name of streets, <br /> . ; . �• �indicate location and width of <br /> _ . :.� - . ..' . " _ � allegs, locate proncsed aad �1Z , <br /> exfsting buildings, sho:o distances <br /> ' t . � � � ~ � . �, � - � to propezty lines, show distanees <br /> � , � ' between buildings. <br /> • Lot size ��U X_ /� / fJ � <br /> ... . <br /> � � . Lot area Sq. Ft. <br /> � .� '-� � � ' Size of Bl q. � Sq. Ft. <br /> . � � Number �f Stories <br /> ' i <br /> .-.. • • Hasement <br /> � -�� Sfqned By ' � -- <br /> ; � <br /> . � Por _ v�S4 - rr.i <br /> . , Ownez � P one , 5 _ -��"/ <br /> , � DO :IOT Si;2IT� 9=L0[9 TKI$ LI:7E-20R CITY USE Oi7L'1 <br /> Date �aceived � -'� � � <br /> . .. Dce� 2onr <br /> ' Plan Caeck :Jur.ber � Fize 2one - <br /> Yal¢aLion rJ�. � +�ecunancy Group <br /> ?etnit Fee `��, � 'iype of Construction <br /> Plan Check Fee � Occupant Load <br /> ; Sbtal Fee Due _�. � Sprinklers Required <br /> Datc Issued � �/j��'�� • • <br /> II <br />