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.. . _ _ _ _ ._�.._�.. . 1{� <br />. .. . . . ' .�_ ... ... ` / \ <br />BUILDING PEFtMIT APPLICATION /Q �d/ • •�� <br />Applicant To Complete This ^orm ° <br />If more than one building is to be contructed, submit a separate permit applica//�/� <br />tion for each buildin . A separate permit will be issued for each building. <br />0 <br />p�er ,�ti Buildinq Addresa ) ��'� [�2�f�F��� <br />Address r ,�J Lot�O� � �( � Block <br />City � � ' Phone _ Subdivision (Plat1 ,���l����F% ' <br />Architect/Enqineer �'���-�"�� <br />City Phone Metes 6 Bounds (Unplatted) <br />Contractor � Sec. �+p• R9e <br />� / <br />Addzess •, L <br />City i Phone � U �' d Buildinq Use <br />. / <br />State License Number /� .� �- d�' '"���y Describe Wo-'- to Be Done 'z `� <br />Expiration Date <br />�/�'�'s�'� -✓,'C' _. <br />SRETCH PLOT PLAN BELOI4 <br />Ose of Huilding <br />❑ N.:v ❑ Addition ❑ Repair/Remodel <br />Va]uation of Construction S ' O.C� O <br />PLOT PLF1N REQUIREhtENTS <br />Indicate lot size, name of streets, <br />indicate lccation and width of <br />alleys, locate proposed and all <br />exLsting buildings „show distances <br />to property lines, show distances <br />between buildings. <br />Lot size x <br />Lot area Sq. Pt. <br />�ize of Hldg. Sq. Ft. <br />A•�mber of Sto�ies <br />Baa�r.,ent _ <br />Signed By <br />t'or �' � .,�.a � e.�.p,� <br />o er ehon\� � � 3 <br />DO NOT i9ftITE F1ELO�J Ti�IS I.I1?B-FOR CITY USE O17LY <br />Dat�, ____�:c3 _�� ��(�' ��_ U_e "or.e <br />Plan C:�ec1: `lcnbcr <br />�7aluation /n n �� �� <br />> <br />Pernit Fee / � � <br />Plan Ched: Fee <br />Total ^eo Due <br />Datc I ,suc.�'. I/ /7'' � C/ <br />Fire Zr,�c <br />Occuoancy Group _, <br />Type of Construction <br />Occupant Load . <br />Sprinklers Required <br />G- `(����r�( �� `� <br />