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_ �, ;, � , . �� ' � ' SUILDIhG PERMIT APPLICATION , � . t • 'e• }
<br /> _ .• i , . , • �pplieant To Complete This :o:ro • '� •�'"1 ,
<br /> . � � • � �� . � .y
<br /> . �� � Sf aore than one buildinq !s to be contructed, submiL a ae arate` . � Y
<br /> ' ttoa ior each 6uildin
<br /> n��� ' ' , g• �1 separate permit will be issued Por eachebuildinqlica-
<br /> �' .
<br /> �'� ; � Ovaer ��_i'L�25 /�i0/-�i C� �'r./ �ildin Addresa � .
<br /> . � 4 �2 1/lr✓E:,E�tn�c//�JD
<br /> � : fEdress .�z /�CdFQ<nr/ ,�G✓D r.oe aixk doo -4-uo
<br /> � �" ;
<br /> � q'y?• . C1tY FGF,�ET7 Phono�5•%'C��C Subdi4l�lon (Platl _/�7R Q�A/� �A/1�:
<br /> , � � �seAitect/Enginecr ' . �n i '
<br /> • /�1/� /� /icL [oTs 70 � ' „�',�, 'S e�'�I
<br /> - �� : '�i �itY • Phone !(etea i Bounds (Unpletted) .
<br /> r., . � .
<br /> :�': Conttactor FvE3>Frr c: . . • -
<br /> ' ';.. ..�� adEseas _fGoG �"�..s��� r..V sec. �p, �e . ' �
<br /> ' .� �-c • . ,
<br /> : . .� City (/g� Phone �3 �7/� � Dnilding Use • • ::: � ' �
<br /> :•..:t� .� '�`' . • � •. . _t....
<br /> . iGte License Nusber 7?3 - � c „��:;:..
<br /> � C /- // /2�' Deacribe Work to Be .Doee'��''T6' � ' r'
<br /> • • �. .I�1 Lzpiration DatD '% ' , ., �����'V
<br /> : .. � -/— 7 , .,�Jrti. _F�(/�/..4R6Fit��Nr �v/ > x,��::
<br /> ' �'1: .' ' • S1�TCH PLOT PLP.N BEIOfP' • l�'Cn�'J ����,e �
<br /> - .'�: . ' . � / `��/,f/ /�LU/n CbUI��
<br /> •� ?� . • .. , ' Qq o! Buildirig {E9i Dl-'.t;r•,E � , i
<br /> • � • ,.i' . • •�, ' :' . ' , ~ • �INew [�Addition ❑ Repair/Remo::el
<br /> �� � � .� -` • � j' • Valuation of Conatruction s��� .s
<br /> �' � •� � ' � lLOT PLAlJ REO� `
<br /> � : . . ., , . � ' � . . IFtE.tENTS . q :j.
<br /> • t . . . . � . � , �
<br /> , . . •� � • . • ' ' ' � � ' ' ,• ' _ ' 21�dicaee lo! size, name of streeta,
<br /> . ' � • . •• ��,• ' . t, � 'indioate location and width of ,
<br /> • i• • • •• . • :'Y • • • alleys, locate pr000sed and all '
<br /> �•i ��r�, • ' '_•;,,,.',•_, ;, y : � � , • existing buildi:.qs, show distances �
<br /> t , •• ' t0 property lines, ahow distaneea
<br /> :. ' ; � j . . ' !. , . . . ' . . between buildinqs. .
<br /> . �, ,� • �. . , , : • . ' �. .' ; Lot size x ' , ' •
<br /> • �:.i- � . .
<br /> . . .: . . . , _ •. Lot area
<br /> � Sq. Ft.
<br /> . . �� ,r.. . , '�; . • . 81se oF B q .
<br /> • ' ' Number o£ Stor e�'s— s • Ft.
<br /> •r� . �; • j ' : . . . . . Basement . .
<br /> , ,�:.� • . .
<br /> • _. . ' � • , 8igned . • ,
<br /> - 1.� . • . . • . , . _
<br /> • , . Tor 2v, „�.,�
<br /> � , -, . . ' . , Owner P one
<br /> •• DO NOT lC2ITL D?LOFI THIS LI:7E-i0R CITY USE 027L'! ' �
<br /> .: : _ Date �eceived _ (Z131 I 7 ��- ' ace• Zone �:f 5�i �„A � ' '
<br /> N�i _r. Ll
<br /> �l�n C:�eck. :�ur.ber 7 S'-4(o � . Firo Zone �'� • •
<br /> •, Yaluation CIIaFN'� �U Occuoancy Croup � '
<br /> "�(J
<br /> temtt Fee ��- �-- � • qyne o! construction �,c� .
<br /> ' tlan Check Fee � (p. O�� •
<br /> , Occupant Load
<br /> . ',,� 'ibtal Fee Duo '��. �CJ . . - ,
<br /> .. . Sprinklcr� Required '
<br /> Datc Issucd • � •• . • , • . .
<br /> ' ' . .. • • r - .
<br /> . . .. . , • . .. ''; " ' • ,
<br /> ' • • • '•�'� .
<br /> . . . . • • . , •, . . � .
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