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7 ' <br /> BUILDING PEAMIT APPLICATION � ���C � �� <br /> � Applicant To Complete This .^orm -7��f-�J�' <br /> lica- � <br /> If more th3n onc buildinq,`lsecarat�ep�rmitev�illsbemissuedePoraeacheb ilQing. <br /> - tion far cach 5uilding. P <br /> Building Address <br /> Owner <br /> �t�_ 81ock <br /> Addrass <br /> Phone�___ Subdivision (Plat) �-- <br /> City _� — , <br /> Architect/Engineer �� <br /> Phone _ Metes 6 Bounds (Unplatted) — <br /> City _- Rqe �_ <br /> � ' . . Sec. �' <br /> Contracto�r . , • '. .- --�--=-�;�— ' <br /> Address � <br /> City _.�-- <br /> Phone �_ Buildinq Use <br /> Describe Work to Be Done ��_ <br /> State License Number . <br /> Expication Date — � <br /> SRETCA PLOT PLAN HELOf4 ' <br /> � pse of Building <br /> ❑New ❑ Addition ❑ Repair/Remodel <br /> Valuation of Construction 5�— <br /> � . PLOT PLAC7 REDUIREh1ENT5 ' <br /> • . Indicate lot .�ize, name of streets, <br /> indicate location and width of <br /> alleys, locate proposed �nd all <br /> existing buildinqs, show distances <br /> to property lines, show distances <br /> • ' betwcen buildings• <br /> yot size �_x <br /> Sq. Ft. <br /> . Lot arPa q, , <br /> -�� 5 Ft. <br /> S i z e o f RTag--�--- I <br /> ' . Number of Stocies <br /> r.. P.]SC^C.^.t �----��___-- i <br /> � � Signed By , � <br /> I <br /> � t°C Phone _._- <br /> owncr - <br /> i <br /> p0 NOT WRITG DELO�J THIS LI2JE-FOA CITY USE O:iLY <br /> � -- - <br /> ��� 7 ) U_e 7.one <br /> _..,,; .a _. <br /> �=�-`� �- -' - -- <br /> � Fire Zone ---- <br /> Plan C:«', �;cr�:.,r <br /> ���7� Occuoancy Gro�p , <br /> Valuation <br /> � Type of Construction <br /> Pernit Fee <br /> /O � <br /> Occup�nt Load � <br /> Ylan Checi: Fee l � <br /> lD O� Sprinklcrs Required �----- <br /> Total Fec Due �� ' ' <br /> /.`�" 71 <br /> Datc I s�u�1 --- <br /> . <br />