Laserfiche WebLink
. , <br /> � . - DOILDINC PERHIT A2PyI��.1TI0N ' <br /> • Dpplicant To Complete This :brm � • � { <br /> if more than one buildinq ia to L•e • vj <br /> tton for each buildin contructed, submit e separate � <br /> 4• A separate permit vill bc Permit a <br /> , Ovner l��� issued for each build.n911ca- <br /> �E�L��ri r� Building Addresa ,� <br /> . . Jlddresa ��N.�ti I;Pti��� yl �' 1l�QKC €' <br /> C1ty � i-- Lot . ; � .�. _ H1ocY <br /> TV k 17 _ i.wne 7 S�i-�i� _ <br /> • , ' Architect/Enqineer ��� .' � 5�143sion (Plat) ,. �t.l?LTI ili, i f-. <br /> .I . _. "-_•-�tsL <br /> _ '.j ctcy — <br /> ; --�__Phone <br /> � <br /> Contzactor • ��' �tes j B°unds (Unplatted) <br /> � Sec. --� <br /> - ' _ Address _ 'n+i�. gq@ <br /> ' �ty �__ Phone —" . <br /> �� ' �� Building Use �ES ��� � � � <br /> • r( state License Nur:_' ;•_ � <br /> Describe ::ork to Be �� . •. <br /> : � trzplration Dat� �one •;- ' <br /> � � � � <br /> ,� : . . �'�IY� .�'.. (�`}IRS " <br /> _ . � . SICETCft PLOT PL;N HELOtJ' <br /> . ' i . <br /> ! . � <br /> ' . • Ose of Buildinq ,7 -- , <br /> � . , J]�. � � Il . <br /> . CN FIF)r <br /> ' � �Hew ❑ Addition <br /> . y�Repair/Remo_el <br /> ..,,,. • , ' � Valuation of Constzuction ; <br /> ` ' � . . ' � . PLOT PLAN RE�USRE}fE:7TS —` <br /> � � . <br /> , 1 . • . . iod.{cate lot size, name of streets, � <br /> � ,•.1 • . � • � �Sndicate locatic� an� widtF. op <br /> � . y alleys, _�cate oroon�ed ard all <br /> eristing buildiags, sha.o distances � <br /> ' . � � • � t� PzOP�rtY lines, show distances <br /> • • . - <br /> between builGings. <br /> ^ ` Lot size x <br /> r.. <br /> .J ' , � . . Lot area ' �------_ <br /> � Sizc of Bl�dg;"�---- S9• Ft. <br /> :.. � 1 N�mber of Storle��- S4' Ft. <br /> �� • -" Basement — �_, <br /> 1 �l _ <br /> . , Signed By ( . �.0 - , <br /> c,.. <br /> For - —�-- <br /> � O�.�ner Pho�:e <br /> r <br /> � DO NO:' Iti7IT: 9FLOb! THIS LI;JE:-?Cit CZTY JSi O;IL'! <br /> Date �aceived • <br /> � —�- Uce 2onc <br /> Plan C:lec:; :;u,:.Ser . ��_ <br /> Valua:ion _—���'- Firc 2onc , <br /> '��----�- <br /> Peroit Fee Occuoancy ;ioup <br /> Plan Check Fee T�Pe of Construction <br /> Occupant Loa�1 <br /> � , � 1bta1 Fee Due <br /> Date Issucd sptinklcrs Required <br />