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� - � Apj�l t.:r.r :o .., r_pl��t.c .:� . , . ��.ii,� / � �/" �
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<br /> If rorc th�n onr. buildinq is [o bc concruct��d. s��ibnit � .^,opnratc perr.+it appli /- /i �
<br /> ki�n tor each buildinq. A sep.�rate p�rrm�t �.+ill be iesued `or cacii buil�linq. '
<br /> Owner �i �_�L����_r�_' O�ilding Address � �{"� ,'�_�"��-L-C�`-�', j
<br /> � -, 7x., � �.,_� �uc' Ulock `
<br /> Address /i0 � , .{ — Lo.,�•� . _
<br /> 't:
<br /> City r�.i^tr•'� , Phone��.� -4 �N/ Subdivision (Plac) f�."f /�.���
<br /> J1�..�.�.. � ' � �
<br /> Architect/En9lneer ���,a�-.c.�<----� _ .���'�--'_ -'���°'� �
<br /> !
<br /> City �'�i-_�c � Phone j.��. 7J���' Metes 6 Counds (Unplatted) �
<br /> � �
<br /> Contractor/("� i1?+.. '� �i.- Sec._ '�['.__ Rge � _ r
<br /> � � ,n7 �i.�. , I
<br /> � Addrer,s r;'��r- /��.r�l�!�- �_ --- � 1
<br /> ,
<br /> City �r�+_.�-J� fhonc J,S'? '/a?''4 Building Ucc '� ,z.1; �•.� r�- {
<br /> � S!ate Licence !7unber ��ti '�� ���_�!� �e:,czibe Boz� to 8e Done �?�t�c-�t�� _ f
<br /> � 7 S I
<br /> Expiration Date /� � `� _____ �Ls'' � *- j`-� - —
<br /> ' SRCTCIf P�OT PL7�:7 06LOtJ _ •- ---
<br /> i . '<�� -- Use of Ouildiny � '_,;�_ ��-� � -�t•_
<br /> I . � ��� -�3tle.� ❑ Additlon ❑ Hepai:/ltemolol
<br /> Yaluation of Conscruc�ion 5
<br /> � -- J .�1`J- — ,. PL07' PI.AN RGQUIItE:�iG:ITS .
<br /> Indicate lot size, namc of stra_:� .
<br /> ��, indicate location and wi�':h o` i
<br /> - � +`� - � allcy�, locate profoaed ond all
<br /> .� g exiating buildinqs nhow listances �
<br /> . 1� ..�,_�1 I to property lines, Ishow �istanees �
<br /> �� ,x y�y�, betwcen buildir�s.
<br /> ' Lot sizc ��' x_l�`� I
<br /> � � n•
<br /> � � � � Lot area /if��v<7 SG. ft.
<br /> I ^ Size cf Dldg. ��3�_�� � :q. Ft.
<br /> 1 \ ' I; S%- �� Ku^b^r of Stor_as .� _. --
<br /> I i ' is3Lon�!':t /� %G ..1�/� r .�t.rr�}.<_- •
<br /> .W' ,
<br /> i � �--_
<br /> _.— kc , 1 Slar.� .l 6}' �(����_.___'_'"
<br /> /,ru
<br /> C.�Cx.7.Gu�Ci '..c "" For /1.:�. / q • ��./,._�,� . .
<br /> —� • ncr Piione � � .�;�� � n
<br /> ���L.
<br /> I _ ___ DO NOT I�RITG �EIAS'7 �HIS Lli7E-90R CITY USF. C'�I�'i___ __
<br /> � — — ----------- t j— r
<br /> I -,.�.,. , j_�_ ,?l�_�_ U:e "one �- / •�'�l,v�(��i�S4 �-�LGi
<br /> � ., .. C':cc?: �tcr: . __.------- -- - - eire Zonc ---�3— ------- ---
<br /> �'aluation Orcup��cy Croup __ ____^_ _
<br /> PcrniG Fe� _________ _�,_._ 't'Y(� cE Cor.�truction
<br /> ��lan Chccl: Fec '--"------ OrcUp,�nt I.n�d ,
<br /> ToG�l Fec Dce ---.._----------- . £pri�klers Rcquired __ ----- �
<br /> ,,,, , I ,-,,,,;� r,ITY �F EVFRETT
<br /> � ���� �2-Z..�]'- 74 - -- � � - -- AI'P��i'. ! f) '�i��' l"� ':ID'f:Q� Pf_Rh�11f
<br /> C.i�r _`/__�S/ n.r __ 13� ----�-�L--
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