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• . - . ;• . _ . ....r <br />� � � ' HOILDINC PEN1Ii APPLICATZON �• ' ' • f/���'�)�'�?'�T S <br />� � - , • � Rpplicant To Completc Thi� Sorm ' ' �'� �j <br />.. . ; � . . '�� �%r�,. <br />, ••� I! twrc than onc building is to bc contructed, submit a:eparatc permit applica- <br />.; tion for mch builcling; .1 acpar�tc permi^ will bc issucd £ot �ach building. <br />�] k /�, ' � <br />; �� Ovner ,y ,��� V Builuinq Addres� G��� �Q ��,�-v�ll�.r/, s4t4. <br />, •. Iddress 9� Il �� �l �J��Ir,���^� Lot_ -- Block r <br />' , Cit.y _ �:^-,�RQG�• phonc 1 -2)p SuWivision (Plat) � : <br />� • 1s�Litect/Enq.necr � <br />':_ '_'j City Phone Metes 6 Dounds (Unplatted) <br />:. <br />' ;,'. Coatzactor � .. <br />Sec. Tc,�, ny� <br />� _ <br />� ' ' .13dzes,. . ' ' <br />. f '«ty Phonc 'Duilciing IIsc � � � � � ` � � <br />_ ...'� : • ' _ . �_� . . �— , �.:�9_ -,. .., <br />y Stzte License t7c^iber �:� � �,p <br />�� Describe Work to De Dor.e '/ �r . <br />. , : . : .I L�niration D�te � �' �•f � _� � . . <br />�1; .i • ' � . . ' �. <br />. + . • SRETCIi ?'LOT rL;�I 9EI,OF7' • • Y - <br />. <br />: ; ,� . . . Use of. :3uildzny _- ' <br />_ ' . . .. ' ." . . : []tdew ❑ Addlt�on 6d'!?epair/Resc5cl <br />�' !� - � • . . � • • •Valuation o£ Con�tcuction S G�Qj1 4--- ' . <br />�' . ' . . . _ . . . <br />^ ' • �� � � " . . �' . . �.PIAT PL11N 7'v'_QUI_;E:.:NTS . <br />. .' .� ' Indicatc luC si.ze, na.:.e n£ strcei�, <br />� � .. . . - ' � ' � 'indicate location ar.c cridth af <br />�, �,,� _ . . � . : • ' . : ' alleya. 'locate aro?osed zr.d a?1 � . <br />� . .exie:ting buildi :as, sho:a distances <br />• s �� . "� � �O : �'- . . to property lines, �hou distar.ces <br />• ! • -a , - bet�:ecn buildi:igs. <br />: , _ _ <br />, , . - . ' � S.ot sizc x . . <br />. , . <br />. _ . Lot area Sq: Ft. <br />, f � ' � Sizc of Ding. Sa. I't. <br />. • Nt�tnbr..r of Stcirles <br />' ': '�. . • IIaseucnt — <br />.: � — <br />. - Signed ll� I � � <br />i• . , — — . <br />. � � � � -� ' � ` <br />� . � � ' FOI ��.t/ .t� �, • ��� _• <br />. � � _ Owncr Pltonc <br />e <br />Y:3?T� 93LOS7 THTS <br />_ Date �eceived _����� <br />� �.��� <br />' °la.❑ CSec;: :7ur..Scr ' • <br />Valuation ' (G�� �G <br />Fc^iiC' Fcc � („/-�� <br />I'laa Chccl: I'rr '�--�"�—� . <br />li� ta). Pec Dur �. �%-� — <br />' . �c:e ]':� ;u�d T_'L /�/�7 \'i <br />�i <br />UFF: O!IT,7 <br />Utc ;.one <br />Fiie :.onc <br />Occuu;:ncy Group <br />T'ypc of Construct:ion <br />OccupinC Loiil <br />�Pr.inl:lC�r� P.i�quJred <br />. . . <br />