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<br /> _ • f " - " • ' DtlILDIHG rr.ru�rT nrrr.icnTio�r '. ' ' .' /��`��::s
<br /> _ � ••� . � 1lpplicant 4•o Comp]cLc Tliia 1°orm . - ' i
<br /> .. . � . . , ' •• 9�3/��':.
<br /> , • • Ii porc than onc bui]dinq is to Uc contruchcd, suhmit n .^.eparatc pei-mit applici-
<br /> . , ¢Son foe c�ch 6uil�lirg. .1 sc��rnte permit will bu i::sucd Eor cacl� buil.Qiny.
<br /> . ��Ovacr U�� �� ( S FJ � Duildinq Acldress � � � .O�l /�/`���� 1` �
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<br /> � � _ Eddres� I �7 1��7� ✓.�ct �� C-� Lot Dlock
<br /> • ' � CSty �>?��ok'.�, Phonc u^ubdivision (Plat) •
<br /> ' • drehitect/Engiriccr � ' •
<br /> • :• `"� City • Pl�one !•tetes S llounds (UnplaLted) ' •
<br /> - - _ ..j cuntractor ,�jr.�n,.r� b�: Ln),��n ICOy„,Zdec. 2t,r�,, ttge ..
<br /> . , . I r- . .
<br /> ` %. . ' j:ddresc 2�7-0 Ctcdcst �2 �
<br /> .. ,i -.C�ity � PhonaZ�J- ��1 ZO Buildinq Use "�<� c w �_� '
<br /> '.��.� . .'.�: . . • �O�,v�J� ` • � .•
<br /> '�; � Stnte.bicensc tIm^..bcr �7?-D/ � I �SC �1 Z Describe Hork to De Done ^ • ,q . , �
<br /> . ': , :.r. � � rXrart�_ . .
<br /> : : '1 EzPiration DatZ �nc,� `7� `��•..'�' ',txfi �)-ev�T '� o�c��.
<br /> . t� ' '�� , : SP•DTCII PL'OT PI.T�I DELOf4' • • �
<br /> . ' :.� . • . • ' Dse of.Duilding � j
<br /> �• j � . ' ," , : ❑Now ❑ T�dition �-I[epair/Remo::cl
<br /> . i'
<br /> . . . .i � � • . . .
<br /> '� �. � ; .' ' . . , � , . . . Valuation of Censtruction $� I �, 1. ° �
<br /> .�,,,. � � �� ' �. . . � ^ , 'PL'OT PLI+2J ItEQUIRL"•.::ITS , .
<br /> -... � . • . .. . . • . .
<br /> � �
<br /> . j • • • ' • � ' Zndicate lot cize, nane of r.trect^,
<br /> '. � • � • - ' � ' •indicate location ar.d width of
<br /> . ..� • " - r'. . �. . . , • allcys, 'locatc oroposed ar.d all .
<br /> • :•' . � .exictir�g buildinqs, sho�.a di::tances
<br /> j +,� • ..' . - .- y ; .•.�. ' . . .L•u property lines, sl�ow distnnce�
<br /> ' t �1 • � . ' - betwecn buildings.
<br /> � . • - . .
<br /> • � • : • . S.ot cize x
<br /> • �. ..i- � • . Lot nrea Sq. Ft.
<br /> • r.. : • ' • . �Size oi D dg. r_ Sq. Ft.
<br /> ' � i , • . ttmnbe: oL Storxcr, _
<br /> . ' :: . j , . • Dacc:�ent
<br /> r.. � �� 1�
<br /> � •:;•�- �. . �Signcd IIy 1�.�.;',� A.c� .�oa-�-
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<br /> . '. . •' For _���1.Sf'°'�' - --
<br /> • • U cr Phonc
<br /> ' ' DO ?70: Sti:i?TL �3�L0'.7 THIS LIt1irFOR CI7'Y UE'; O21L'L �_� � ��
<br /> ; Y Datc ':accived � % � �-- U�c 7.onc . -- _...
<br /> �—
<br /> ' Plan C1ec;: :7ur..bcr ' ' Firc Zonc i- —
<br /> Yaluation ��c(, �� Ocrunancy Group
<br /> . . . , tP�" .
<br /> FcsAit: Ycc _�_ _ 7ype of Con.tivcCion _
<br /> Plau CLeck Pcc Occup?nC 1�ood . _
<br /> • ���� • . , .
<br /> . :otal F'ce Aue !'�,�I. _ Sprinl:lcr.^. R��quirr.d _ - ' .
<br /> . , U:Lc Y.^.:ucd _�.��//`/��_�_ . . : • -
<br /> • . T' 7'T- . • .
<br /> . • .. , . . .,', ' •
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