Laserfiche WebLink
s <br /> . �. AppBunt To Complete Thu Form <br /> , Il mora than one building ie to be eon�trueted, �ubm�t a �eparate permit <br /> app!leation tor each building, p �eparate permit w111 be Sssued for eac6 <br /> bui2ding. <br /> O�vaer�jtn yy: G. �i ,�/�u{Iding Addres■ �L , e <br /> Addre�� 3��� Lot ��Blo'S:`''TS /� z� . .. <br /> ��1�Phone L ?S9J Subdiv{�ioa (Plat) <br /> Are�(teet/Eegineer ��. �, < < ^�� ! � <br /> l� ��� �f-.�G�'75 <br /> Ci� �O°° Mete� & Bouads (Unplatted) . � <br /> Contrnctor ;�Ez, ;, Sec. Twp,__�yo8� <br /> Addren <br /> �h' P6one Building U�e <br /> 84te,Ileea�e Number_�_ ��eribe Work to be Done <br /> Fsp[raHon Date ��e�L �C��� <br /> SKETCH PLOT PLpN BELUW <br /> 'U�e ot Huilding <br /> ' . . IINeav IIAddiNon �epair/Remodel <br /> t� r <br /> YaluaHon ot Conetruction S � V O�� <br /> PLOT PLAN REQUIREMENTS <br /> Indieate lot size, name of etreete, <br /> � lndieate Loeation and width of alleye, <br /> . loeate propoeed and all exieting <br /> buildiaga, ehow dietancee to prop_ <br /> arty lines, ehow dietaaeea between <br /> buildinps. <br /> , �t .i=�,�__- IS� <br /> Lot area_/,Z /� Q Sq. Ft. <br /> 8ise o! Bldg._���. Ft. <br /> Ntw�ber ot etories / <br /> . Ha�ement �,L. � <br /> Sianed By Date � � t <br /> For �' <br /> . ��o�� Phone : 3 i� —� <br /> DO NOT WRITE BELOW THIS LiNE _ FOF CITY USE ONLY �� �_ �J�� <br /> Date Reee{ved Use Zoae <br /> PLn Check Number Fire Zone � <br /> Valuation Oeeupancy Group <br /> Permit Fee Type o[ Conetruction � <br /> Plan Check Fee � � Oeeupant Load <br /> Total Fee Due Sprinkler� Required <br /> Date Lsued <br />