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<br /> " � .. � . ' ~ ' • . .._._. t �•• ��
<br /> �� � � � ' � ' BUILDINC PEIL9IT APPLICATION �.� ,.'�'.,..,� �.,.�„i
<br /> , � AFplicant To CompleCc Tl�i� :arm �. ,���•7; y
<br /> .. '� i. .
<br /> • � I! more than onc buildin is to bc contrucecd, submit a c aratc .•
<br /> ` 4 s p permit applica-/ '
<br /> . . tion for each buildinq. .1 separate permit will bc issued for each building. �/
<br /> . . ' � O�mer � 8ui2dinq Address � ' � } �
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<br /> , •
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<br /> . • � Tddress Lot Slock ,
<br /> . City Phone Subdibision (Plat) :
<br /> , � • Architect/Engiueer • . . � ,
<br /> _ 'ti � `•� City • Phone Hetes e Douads (Unplatted) •
<br /> , .-� , -- _
<br /> :�". Contractor � ' Sec. '1M�. gg� �- •
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<br /> =• %• . � 1Sddress • .
<br /> •i : ,,
<br /> . City Phone ` Sn3.lding Use .' �`':•� :�• .
<br /> '�j �.r�' - . � , . . - -�•r':
<br /> '�� � SEate.I,icensr, Nu^�cr ' Luseribc WorY, to Ee Donc .�*
<br /> , _ . .-:�1 Spiration Dae� • .
<br /> �~ ' '� • • SICETCIi FLOT PL,17 �3EL0:0' • "
<br /> � •: i ..� • .. . � . . . . • � . • - � •
<br /> Osc of Duilding
<br /> �' i � � . � , .,. ' Qtiew ❑ Addition Q t2epair/Reno�el
<br /> . . .. .; . , �:
<br /> � ;• . " . � � • 9aluation of Construction $ '
<br /> '. . . _. �
<br /> �-• . ' � " . . �' -. ^ PUJT PLAN P.EQUIR&�fE:ITS .
<br /> y . . _ . .� � . . ' '.+...
<br /> � • . . . . . � • . .
<br /> , ; ' ' � ' . ' . ' ' ' ' Indicate lot size, nar..e of st_eets, �
<br /> � • . ' ' • ' •indicate locatioa and width of
<br /> ' • ,� " . ��;� - .. _ :: • allcys, locate pr.oposed ar.d all �
<br /> • ' ''� . � � � � ` � existin builuin
<br /> I , � .'"- '-• c- : . . ' . � -.' • ' . g 5s, shc:+ distances
<br /> i � '! •. + to property lines, show distances
<br /> � : •: q , . betwcen buildings. .
<br /> . . ' . , . . -' ' • •
<br /> .f * . f" , , • . . ' ,. . Lot size x .
<br /> : •- ` , • . , - . Ir�t arca ' Sq. Ft.
<br />� . • r.. ', • . � • ' � � . Size of Bldq. �� Sa. Ft. �
<br />� � `j � , � . � �- - � ' � 17umber of Storics
<br /> ' - -. • i. ' � � � • � � ' ' " � � . DasemenY. � �
<br /> �i. � � .
<br /> �� : � '. Signed IIy �
<br /> +. . . . .
<br /> . _ . . For
<br /> .� - � � � � Owncr Phone
<br /> ..' � • DO NO: SC:tIT� �1=LOF7 THIS LI:dz-?Oft CITY USE Oi7L'! ` .
<br /> Date �eceived � � Use Zone • '
<br /> ' Plan C:�eck. :7ur.ber ' ' Fire 2one '
<br /> Yalnation Occunancy Group
<br /> Pemit Fee � ' Type oE Con�truction
<br />� Plan Check Fee � Occupant Load •
<br /> . � 1bta1 Fce �ue Gprinkler� Required '
<br /> Datc I�sued � � ' ' • ,
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