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<br />'� ' ' " ' � ' DOILDZNG PEAHIT APPLICATZON ' � . � •,; •• . ,ti,,?
<br />- ' " �� ' � • � �pplicant To Complece This :orm � ' , •:
<br />^••�� Zf more than one 6uildinq is to be contrueted, submit a sepazatc permit applita- ~
<br />.� 1: tien for each buildin3. A separate permit will be issued for caeh building.
<br />. � ,
<br />.� ;' a�er ; � �j J-�'o r,� i� e v u+ S�ilding Addzess ;� J 3 7,t? v a o n vr o": �
<br />a.,'\D : uaress a. c� 3 1 � v a a s�,w o'� r,ot f s} `"�—' Hlock �o•
<br />, CitY % JPan�' Phane Snbdi4ision (Plat) 1-�,4 r!-4� 11Ei(ZS, •
<br />�. . . � . .
<br />: itchitect/Engineer r i ,' �,T L.,�.�; , ' . � .
<br />_' 1:.°E� City n y � 1 v� A,�Phone �C� � i D �' 7 Hetes i IIoun�is (Unplatted) ' •
<br />'� .;��; Coatractor �� j1r, yy� . K��Jy.�qrr'o 1 ie �; Sec. SVp. Rqe �
<br />: , ' ±' •'• Mdress p U. 1� e 7� ) �� Z . ' ' ,
<br />.. 'r City r'�/n yr 7Ch Phone ��- 1"h ��7 • Bnilding Use'�10 I 11 I i� P D b ir ,/ ''��'��
<br />�- � `� � State License N�ber bescribe Work to He Dane �' �
<br />r .
<br />:.�'i LYpiration nat� '� U I I n ir ��r X� YY O 1 IZ � h •
<br />�+.�' � . • 87�TCH PLOT PLA.H BELOSQ' • S�S 1.�%i� 11 D}�, �. IS JCC -
<br />- �;':_� . .. • . .. • osc of suilainq moo ) Dvo'�u iS�
<br />. ,_
<br />�� i � � ; � , .,, � • �New ❑ Addition ❑ Repaiz/Remo::el
<br />��• ' " ." . � • ;.' • �Valuation of Construction $ 4-00�
<br />`-� � '� � . ' �. , . . . „ .. • - I .. PLOT PLAN REQUZFt&•IE:7TS .
<br />_�,. . . . . . � . . . e 4 .
<br />� . � . ', . . • • . � . .
<br />�. � • • ' ' � , , ' . • • • ' Zndicate lot size, nane of streets,
<br />- • � ' ' ' '.� ' ' j. �' •indicate locatioa and aid.h o�
<br />• . • j ' • : �;; ' - .. . :: • alleys, lwate ar000sen ar.d all � '
<br />''1 ' • existing baildi: gs, sho:+ distances
<br />,. . .
<br />� . i i . .�:`�'""-'!. , . • , .~'• • ' . , to property lines, show dis:anees
<br />� . �: � betveen buildings. .
<br />. '. . - .. ' - • • • :
<br />,� �. , . - • Lot size x ' .
<br />..
<br />' • �':•i' s • . . ' . - , . Lot area ' Sq. Ft.
<br />' �. = . ` �:. - ' � . Siae of Blcq. Sa. Ft.
<br />�� �� . • ' ' N�mber of Stories
<br />• :: .i ' . - . . Basemcnt •
<br />'•r� ' . • • . . : : Signed By � '
<br />. a. . . . . . . . .
<br />, _ . . . . • . Foi �� 1� f�nw�i, e v Nt
<br />. - . ' . Owner Phone�
<br />.. , DO NOT SC:22TL D=LDI9 THIS LI:7£-FOR CITY US 02IL'! ` -.
<br />. Datc �eccived � � II�e•Zone � ' �
<br />. � �Z '
<br />' Plan C:�eck :7ur.ber ' ' Pire Zoae ' �
<br />• Valuation Occuoancy Crov�
<br />� Pemit Fee ' ' • Type of Constniction •
<br />Plan Cl�eck Fee �' Occupant Load .
<br />. � Total Fec �uc � Sprinklcrs Required '
<br />Datc Issucd ' , ' .• . � • , . , _ .
<br />• • . . . . • ' • •' .
<br />. . . • . • . . .. '•'. ''' ' • .
<br />. .: . . . • . ., . • ' •
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