Laserfiche WebLink
� � � � LOILDING PERMIT APPLICATION � � ' '�� <br />. � . ' . IIpplicznt To Complete This Sorm � �J b7 � �� �,! <br />. • 21 more than one buildinq is to be contructed, submit a se arate 8� �1 ��• <br />.. tion ior each buildin P Permit app ice- <br />3. .l separate permit vill bc issued fot each buildinq. <br />'' Ovner i)/a V l/1 LF(% :� I�/<', %�/� // Huildinq Address S Z% Ci�gd�l . <br />, Mdresa p,v;s�o�a,s GV�Y u� r o A' <br />, ��. ~J' C' �12("77 2 r7 Lot��� Hlock � <br />• City (-�r�� i 7 Phone,3� : (-(� Subdi4ision (Plat) . ; ��„�;�,, . <br />' • Architect/Enqineer � <br />• �• `' "� City Phonc <br />_ -i <br />, ContraMor �'��i.�. � i� S/1/s. � v e. <br />� � " lddress <br />' City Yhone <br />rj State License Nunber <br />• � i Lzpiration DatE <br />��' � � SlCETCH PLOT PLAN SELOW' <br />' �31,d� I.i1J �( �c. t;/ ' r„ N; <br />?I,��, u�;,.�� e�� �. r c.; GAr �� �. . <br />r v <br />:Y�TaI.oF �� ' --�---- 2CG' w�i�<' _, <br />i.KB. }�I�Gn O; °jiX�I i 00�.1iN�; �y <br />�4 <br />f�Y o �Ks [;yWLi•e ' � ' <br />�W.i �irvrM. H� y�� �[erG • � � <br />. � <br />Netea i Bounds (Unplatted) <br />Sec. 'iwp. Rge <br />Buildinq Use �/�I p Cp2 bi►/yi6Y0�`�� ,_ <br />Describe Work to Be Done .�` <br />� Ose of Huilding ��„- ,,, ,. .�,�np(Q, ' <br />. � �hew ❑ Addition ❑ Aepair./Remo::=1 <br />� ' `Valuation of Construction.$ )�'`" � <br />��.., � 4.:. i't t�. i,.�.• G:.^, i97f7Y['�l'CN�'«� <br />PfAT PLAN REQUIR&�fE4TS <br />Nno� � .. <br />• i i*- I a YP*�„ ' i Ipd�cate lot sizc, name of streets, <br />. ��-"^ `' : ' ' :. indicate location anc'. width o: <br />. ��� .. +. i alleys, locate pr000sed and all <br />� � } - �� � p . __ � � �i� ' �X3 - oxisting buildiaqs, shuw distances <br />• t'� ' •• 'f�„„ �— to property lines, show distanees <br />• t ' � I�+ec �� ina��r, _ _1''� ' �%n�• I between buildings. <br />' y�x�•v_ir!4.._E-a1�. ' .� <br />� � }�:��_C�._ta �z�...��a%�;rrici � Lot size ����..,,,,, x �l5 <br />� <br />�, T)i ��� <br />••• � , . Lot arca Sq. Ft. <br />• r.. I �p0 • Size of B 4• C���� � Sq: FA <br />'j • � apK •- Number of StorLes <br />� n.it Slaii <br />• � �.: . i � •s' � Ay' '. �f Baeement i�l.i <br />:.. . � �—�--_- <br />, � __ _ �) <br />� : • _ . -- ' Signed By � ; � c <br />� _ �� � �v1L <br />� � �i �� �� --- _ Por �i��S `�!�^.ie, <br />`° ._ U�V�n�� t��a��:i✓��/Sr.-t'S '�!'hcnli P one.757-'L„b/h <br />(•l�['/�/� <br />/_��. � � /�/l�'/_(ii�.0 � J�j�'.�.l b'% <br />I DO NOT {<Z?TL B�LOF7 THIS LI:JE-FOR CITY US^c OiIL'! <br />Date �eceived Uce 2onr <br />Plan Check :lur..Se: <br />Valuation <br />Peznit Fee <br />Plan Check Fee <br />1bta1 Fee Due <br />Date Issued <br />c <br />Fire 2onc >' ' <br />Occuoancy Group � <br />Type of Construction � r_1 . <br />Occupant Load <br />Sprinklers Required <br />. , <br />