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- • � . . • ' EaILDZNC PER.YIT APPLZCATION . '. � ' ' ;'�*
<br />, � Rpplicant To Complete This :orm '.�� • �'�
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<br />� It more than one buildinq is to be contructed, submit a se azate
<br />' ' P permit applica-
<br />., tioa for each buildinq. 11 sepazate permit wili bc issued for each building.
<br />• • , � �� ��7- ����il/SiD�CI Hnilding Address �
<br />' . : , iEdress _2�7 �OY�f��_ Lot� Hloek •
<br />.,• �h' �.>T Phone�/ Snbdivision (Plat) ��.i :
<br />�� � ),.zehitect/Enqineer � ���c %/L/�GrS
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<br />. '- + ,
<br />_ •.,'_��� .:'� City Phone ltetes t eounds (Unplatted) ' . �
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<br />:,," Coatractor � Sec. Sbp. ' gqe
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<br />- , •.' � . . . .
<br />.;•. 3Edress . . . .
<br />1; CitY Phone snildinq Use . .�•: �:�;� :.
<br />•41 ��
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<br />, `y� � State, License Niaaber • ' Describe Work to Be Done c�>5>,G .• �� F` ~-�
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<br />, .I. Lspiration Dat� ' "T'Ou�� '� ,QG/�_ ,�,p� :.
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<br />SI�TCfI PLOT PLAN HEIAW' �
<br />. . : � • � .: ' . � . ,:. . • Q�e of Building =
<br />! i • '... � �: e., , • �Nev 0 Addition Q Repair/Remouel
<br />• .i � • . .. i : : , . i. �-
<br />• • � i . ' ' . • - . + • • • Cral.nation of Construction S�
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<br />„ _ . �, . . °.L.• ` .• . . . PLOT PLAfT REQUIREAIENTS - .
<br />� . . . . � . _.� . . . = ".� ,
<br />. .�,�,' '. • � ' • � �• ' ' Indicate lot size, nane of streets.,
<br />• �. �:' , ��,� . ' �:: :. " , }.r ' .t. '' 'indicate location and width of
<br />• alleys, locate pr000sed and all �
<br />� • �` .,�� _ • , - • � • � � � • . • .t ' ettisting buildi :gs, show distances
<br />• 1;1 •'�"'' ''"'! : , •"�'j ' .• . to pzoperty lines, show distances
<br />` � . + . •;� ., • • between buildings. .
<br />'. . . ' .
<br />. �,•. _•r � . .' �. . �� • , ' �Lot size � x � . .
<br />. ..'s- ' s , . . • Lot area
<br />� r.: = ,• . Bize of Blii Sq. Ft.
<br />. -� .�i .. . , Y• Sq. Ft.
<br />� � . . „ ltumber of Stories
<br />�: •� ' • . . Hasement
<br />-'r'::.� : : � . Siqned By
<br />• a , • . ' . . . For �.�. a .a.�v.� -- �� -
<br />. . . . . , .- . .. . Owner Phone ZJ?T--�116,[ .
<br />". � ' __ DO N0: h^.iZTL HELO(7 TH25 LZ:IE-c^OR CITY T75E O.IL'f '
<br />-- . - Date �eceived 27 � ' � D�e Zone •
<br />. :.. ,
<br />.' , Plaa. Check t7uLber 7S ^ Z¢ �p Fire Zonc 3 '
<br />Valnation � IQ-C9dU� �- Occuoancy Grou� �- 2. �
<br />,q ���
<br />, � Petnit Pee "�� �' v� Y� qype o£ Construction j •.
<br />. , ' ?lan Check Fee � Q-- � Occupant' Load •
<br />; ' � , .
<br />.�.Sbtal Fee Due �02• d Sprinklers Rcqu�red '
<br />' : • Datc Issued 'L�7� ,� ' •' • CITY OF'��'— '
<br />, ,� —T—z-7 :j�iP_PRQY[D FOR• f1tJiLBING flERMIT
<br />� � �. � � � • y• • . �' , • 37aie' �i�.'i��,ff3y:�_:—� ,� ..
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