Laserfiche WebLink
. <br />� <br />. BUILDING PERMIT APPLICATION � 2 <br />Applicant To Complete This ?orm /�� G�`� ' <br />If more than one building is to be contructed, submit a /a/� 3/� � <br />tion for each building. A srparatc per�i� �iil be iss SeP�rate � <br />ued F p �it applica- <br />� pyme1 /� �t��/i�' - or each bu.ilding. <br />,� � � r Building Addres„ : �-r. �..,, r � <br />Address .��j� ° L' ^ � _ <br />/ ..�c•_CrYc/-. >,!G'-!� LOt /'�i ' ` � <br />� � ( � ' � BZOCIC � <br />City �`,`�•t � tt � Phone ,3S';- ' -�� <br />-�— �l'�' � � Subdivision (Plat) J <br />Architect/Engineer ' - j�< <� ��� ��'�'�' ���`��� <br />City �—_Phone <br />��� Metes 6 Bounds (Unplatted) <br />Contractor <br />Sec. �— <br />Address �' R9e <br />—� <br />City �-- . <br />�.�_ Phone Building Use i'� <br />---�'_ /Yq_(F �9NJii ri ` <br />State License Number - <br />Describe Work to Be Done <br />Expiration Date ' <br />��� <br />- ����'-��-C� / '� ,� ..- . <br />� '`-� ' .�z�a� .�_< -n�.' <br />SRETCH PLOT PLAN BELOW� . <br />-� 2X4 '�1 h(. G7 (�Jt �. <br />v`{�%a°� k.a. �. <br />� , n �,'-Q"Ac. � L <br />. <br />�,�.��� Oae of Building �'� S, <br />�.r ��G �1/l�` r- <br />�� iL �NeW ❑ Addition p � <br />[te�. � � �Re air Remodel <br />--- Valuation of Construction <br />5% <br />� PLOT PI.AN REQUIREMENTS <br />Indicate lot size, name of streets, <br />�, �i( � / g��.�,,��,�� indicate location and width of <br />� G12ou7' GG, � e alleys, locate proposed and all <br />�• �� Go NTiay �_ existing buildinqs, show distances <br />���'�� �-�-�,h� to pro ert lines, s <br />p Y how distances <br />,, 4 � between buildings. <br />. - -���X3 q$°o.c.. <br />'Z,�i • - �- <br />� � <br />, � .. . �r� • ---- _ � 2 _� <br />. . • <br />� ��Pv i�l � � <br />� <br />1 iGdL �s�r nl <br />--��---------- G ___. <br />Date ..._�,;ei�:od <br />?� �n C`:-__ .._...� <br />Vniva__;�:; <br />Pernit Fee <br />Plan Checl: ��� <br />Total Fee Due <br />Uatc 75cu�� <br />C�-{�{i��U" �� � <br />` <br />, <br />� �� -,,� <br />� - ,� - <br />;� , <br />Lot size <br />x <br />Iot area <br />5ize of Bldg. S4• Ft. <br />Number of Stories —'— S4' Ft. <br />Basement <br />Signcti ?i <br />tb r <br />Owner Phone <br />-_ GP, C. <br />G:.r. ,'.o,:e <br />='ra ^_or.c <br />Occupancy C:ouo <br />�'ype of Construction <br />Occup�nt Load <br />Sprinklers Required <br />