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.\ <br />BUILDINC PERMIT A�pLICATION �,�! ^ <br />Applicant 'C•- Completc Phis Sarm E�� <br />If more than one buildinq is t- t /n <br />tion for each buildinq. p 5,.. � con_ructed, sabmit � sc-�araY.e permit a ��j <br />� ^ perm�.t •Nill be issued :��� �a,. pp1�-=- /'f tf <br />Owner `/� l Tq�'h � ti �/� ^ -ti buGi}-�'� in.�. J/ <br />' u' �nL�6-S Buildinq Address � �Y,�'-�� � �,. <br />Address � (, 7 _� _ Np ^ '"�' <br />'3 � ) � S 6'� aot � <br />Block <br />City : �d�C'b` J Phone �;3%-,�+/' <br />�+ Subdiviston (Plat) ^)E1t��eA, f <br />Architect/Engineer � � '�ti � <br />uL'�^ • �%' <br />City ______—_Phone <br />Metes 6 Bounds (Unplatted) <br />Contractcr � �,� ' <br />Addres� ��i,s- /1'�' 7/4�,i��r` Sec.L�_ �'P- ,-��'ti RQe i i=�%it'1 <br />---- --�_ �.._ <br />City -- Pl:one �.. , � , <br />�__. Bu_ldinq Use 4I, w�( lr '(, � . <br />State License Number Z 2- �- (1 � �'� � ���^+ A- I <br />�' �F9 Describe Work to i._� ❑� I <br />Expiration �atc ��.; -z ���.� /% _ <br />1 ' <br />� <br />---- ` � S .. 'r � /.v ( - � <br />. -�� ; ��� <br />SKETCH PLOT PLACI �ELOW f'�I, �� <br />_ .�/ ' - -- _' <br />Da:. .._��l�;r:? �z_ —l� _ � � <br />Use of Duildin .� ` ' � ' <br />4 �.uc; (« y-.4 / <br />—=---��� �fi�i�/¢r- <br />/�New ❑ Addilion ❑ Repair/Remodel <br />Valuation of Con�truction 5•-�5�`� �''� <br />� ._� . <br />PIAT PLAN REQ'JIREDIENTS <br />Indicate lot size, narae of streets, <br />indicate location and width of <br />alleys, lecat� nropcsed and all <br />existing �uildir.gs, sho:o distances <br />to property li.nes, shoN• distances <br />between buildings. <br />Lot size �ii -f // X ir / 35 �' /7/ � <br />Lot arca F'cC� � - <br />Size of 01 q. ., Sc. Ft. <br />Vumber of St���_es�r S4' Ft. <br />Dasc�cr.t��; _/.� c'��— <br />Signed g� /��� <br />� _i_ <br />v <br />k'or <br />p— cv�-'- <br />ILS i,lt4F'-c'nn rrm.. ..,,., _..__ <br />Plan Chec? .�.....b„r _� <br />Valuation -� L� � <br />� C <" <br />Pemit Fee <br />U=n ,^,Ct:e �� <br />Fir.e �onc 3 � <br />Occuponcy Group <br />-----__. '1Ype o: Construction <br />eia� cne�i; r•�„ -- <br />-- Occup�nt. Load <br />Total ?eo pu,, -"---- <br />'— _ . _ Sorinklcrs Pr_-uired <br />��« rs��„>� ----- AF� r�, �.; � �� , � r , , _:�r <br />lX� • <br />� <br />f <br />