Laserfiche WebLink
� \ <br /> � � l��� ► <br /> C7T;' OF f:VLR�7`T �� I'Llt>fIT N0. ' _ <br /> AP•.!'Al?'1':•11:;27' 01�' COSi:•it);7iTy nr.�-�;r.bP1tEN'P <br /> L�HUILDIf�G 1.'P:I:;dTT i+l`i'1,:iC:".TiC:: VA.T.,U�ITIU`d <br /> P;i1:D1IT b'l31 <br /> DnTB SCPT�n� �t� !Z. f�l'4 <br /> ADDRESS OP CONSTRUCPIOiI �PORi� �i'I`t ;�Lp�Y:c- 1�Fu,c <br /> L�GAL D�SCRIPTI0:7: LOT 'I 13LOCF ` PLAT �vc�x•�ceu (�j�F <br /> ' UNPL�TTEU DLSCRIPTIOid jC p r.F TItC S�Hy rr SCe'ircti �% , �;;:rm��if0 :27 <br /> %� _ ��CATf/ }�^NGC � E�•T UV�n�� )C''QR16C�1) qND RC1CL'OCC �.N VOL�..MI' <br /> �3 oP �•Au <br /> % cru Pace 70 nr $,�a�,c���s�• eecr,ri �ti'��si.��.�rc.� <br /> IIUILDING DESCRIPTIG:1: NE{a � AUDI'PION FEIdODEL <br /> OR REPAIR <br /> #' OP UNITS / OCCUi';s\CY 01. USE ji':;n:•._c STORTES / >' ' �Sg��v� <br /> IS THIS A CtiANGE OP IIULTDIicG OCCUPADI^Y: YES NO }� <br /> CONTRACTOR Ror,c�:r �. S^_i{i���c� OWNER 1(CAfc7' �-. SeFr,icitC <br /> MAILING MAILII�G <br /> ADDRESS 25-2y 73 �� $c. ADDRFSS 25'z4 73�' Sr <br /> Cve�err Gll.� YY2c� C�e-�� ���, I,•t%� qYT.c3 <br /> PHONE NU."IB�R 3S_3- �)ZC'$' PIIONE C:G?IBER .�j 3 • 92Cy <br /> CONTRACTOR'S LICENSE NU:•iBSR <br /> SIGNATUR� .(�(��...T ,C, _��"�1;_� <br /> ,e� NO'iE: THE APPLICAN7' SHALL r ILL IN ALL ABOVE IILP.I:IiS CO;�SPLIITELY IP:CLUDI\'G <br /> `1'l1E PLOT YLT::� S'r:E:iC11 0.`: P.�:�it OF THIS SfiEET. TIIP•. r1PPLICA?iT IS RESPONSIHLE <br /> I'OR ALL lI:POR;•L=,TIO:; P;:IICI� IS FURNISIir" ON THE AYPLICATION. A�Y CHAItGES <br /> IN THE INFOI2bU1iI0.;, PLOT Pi,Ai: OS BUIillI:�G PLAtvS SHALL 3P SUIIMZTT�D '1'O TiiE <br /> INSPECTION DIVISIO:: I•'OR APPi:OVr1L B:r^O;tI: PROCELDIC:G [9ITH TfiL CON '^RUCTIO:I <br /> WORK. <br /> APPROVAL: � � <br /> L (. <br /> 1. PLANNING ��F <br /> DI�TE �/�p�� <br /> ' � — <br /> 2. ENGINEP•.RING <br /> TR��rI'IC DI\�ISIO:! <br /> l•�ATliR SEF2VICL — <br /> � SL�9ER SEP.VICE <br /> PUTiLIC SERVICE S�Ci'SO� <br /> 3. INSPECTIOtI DGPTiltT;iECIT . <br /> 4. FIRE t•'.rIRSllAL • <br /> NOTG: ALi. COSSTi.UC'i'iO;d P;OR:: SiIALL CO.'dPLY S•7IT1I APPLICAP.i.l? COD2:S� Iv'OT:JS <br /> ON DPJ1FlI:dGf3 , AND 1.::SPi:C"IO:.'� <br /> '4 sM,�+..� PR��oE � iw�u�Mu ti� or ce� �Tfy►.c..�c �, E. � C,�ve <br />