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APPLICATIO FOR BUILDING PEEiPffT DATE .._��/�T d __. <br /> r'AME.�Rv /c` Q��.---- -- --•-- � — •---- <br /> nnDRESS �?2��—IG��i ,/I�ti r/IGl/v �'�-f<�. -- --- <br /> HOME OWNER BUILDING OP. COt7TRACTOR? � � <br /> __�-- /��J - <br /> ADDRESS �ZS��`� �/J�t(i N�', ��1YT/C�I�N PHONE N0._.L•�/�"/ � ��_ <br /> - ----r -�--� — _ <br /> CONTPACTOR'S LICENSE N0. �-�3-� a -S/ 3 _ SE47AGE PERMIT N0. _ <br /> DESCRIPTION OF BCILDING <br /> ADDRESS OF NE4T BUILDIIdG,1� •�J��o� �/'c,C�A`!���DRIVEWAY PERMIT N0. �__ . <br /> WIDTN OF ROAD <br /> LEGAL DESCRIPTIOtI OF PROPEATY: � <br /> SOSDIVISZON ZONE_ BLOCK LOT_ _ <br /> LOT SIZE SEC. _TWP. , RANGE __RT. ___ __ <br /> METES OH BOUNDS ___ <br /> SUILDINGS EXISTING ON THIS PARCEL OR PROPERTY? <br /> S2TF INSPI:CTION: <br /> APPROVED . I DISAPPROVED I <br /> CONIIdENTS: <br /> BUILDING DIMENSIONS: <br /> MAIN FLOOR DIMENSIONS STORIES `__ , _BASEMENf _____ <br /> DIMENSIONS OF GARAGfi CARPORT <br /> DO NOT INCLUDE GARAGL OR CARPORT IN FOLLOWING Ut•ILESS GARAGE IS IN t�ASEMENT: <br /> SQ. PT. ON MAIN FLOOR `_ _ PLAN 1•10, _ <br /> SQ, FT. ON SECOND FLOOR_, ___ _ <br /> SQ. FT, I14 BASEMENT ( INCLUDE GARAGE IF LOCATGD IN IIASEPIIiNT) _ _ <br /> TNE ABOVE PR02CSED STRUCTURE IS TO E USED FOR THE FOLLGWIN PURPOSE: � //7�/hl/I�.C� <br /> �' � � � ` / /�", / ---- <br /> ^ _ <br /> ,,��� ,,,1 57,GNEU /�,CGLi' <br /> �_ —d,�- �- <br />