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_. ��, � .. . � , ,. . � • SOILDItlC PL2iHIT APPLSCIITION � . � � I�� ��...f. .�y�'. ,�,{. .__
<br /> � Rpplicaut To Compl.cl:e TIii3 :orm /' � �• J � ; •T
<br /> .. . � . • • � �//'S, , .
<br /> , � • � � 2f more than one bt�ilding !s to he contrnct�d, �ubmit e srrarzte pefmit ��p1lca- '•
<br /> , . . t10a for each buildin3. �1 separatr. pennit will be issued Lor each buildiny.
<br /> . � � GYG!! _� � � • � . . � . . • .
<br /> � Svildinq Address
<br /> , � , J4ddres� ' i Lot
<br /> IIlock
<br /> �itY � '_ Phonc Subdi4i�ion (Plat) � � `; :
<br /> _- � • Atchitect/Enqincer � • . � � � , , � ,
<br /> _ .•ti , `._`i City • Fhone Metes L nounds (Unplatted) .
<br /> ' ` -
<br /> _ .;,'. Contractor _ �_ Sec. 1Vp, : , gg� .
<br /> c• ;• . � liddress � ' • � .
<br /> .. �1 �ty Phone Duilding Use �
<br /> 43 . . . . . - - ' •;': ��•f'..
<br /> � '�� � £tate License N�er Describe Work to De Done � � . � , , . ��'���� '
<br /> , _ . . . •I Ezpiration Datt /�,.� � � , / , .. � .� � .
<br /> L� ' '� � • SF.F.TCfi PLOT FTJ�!7 IlEL0f4' • � '- ' � ' 'I -
<br /> : � �.� �. • , � Ote of Duildinq . i
<br /> . . .
<br /> �' i - , . ... �ftew ❑ I�ddition �Rep�ir/Ficmo::el
<br /> . .; • . �'
<br /> � i' ' • . • � Valuation of Construction S ' - - �'
<br /> '� . . � � � . - � .� I . . .
<br /> ••,,•• . e - ' , , ' . ' • . � . P7AT PLJ1N P.EQUI?2EtL^:7TS
<br /> ,�, . . . .. = .
<br /> � � . . . . . �-- � � . . � ' '.;
<br /> , .• t ' ' : ' '. Incii.catc lot sizc, na:�c of streccs,
<br /> • � . � ' j. � •indicat� location ind width of. ,
<br /> ' .. ' . : ' . : • allcys, locatc nroco�ed a,-.d all
<br /> • � ���I � � � � . � • Cxi�ting .`.uildings r.hc�a di�tancc>
<br /> • � �� � • � ' - " '! ' • ' '= • to propertp lines, �show distances
<br /> . � � ' • � � ' , . • . bclacen buildings.
<br /> � . � � ;' ' . . ' + Lot size x � . •
<br /> .•i' ! • • . . Zot nrea
<br /> � � �_ Sq. Ft.
<br /> , . �• r.. • . . � � � Eize of IIlcg. Sa. Ft.
<br /> � . ' • � � ttur.�bcr of SCones
<br /> ' � �! • 1 - ' Dacement
<br /> r.. � . �
<br /> �� ;'• Signed BY - '�_� . . /. _ . ...
<br /> ; . . , .
<br /> • - ' • For
<br /> � - . . . ' Owncr Yhone
<br /> . ' DO NO': l�Z?TE ?7FLOt7 TIfIS 7,S:dF.-FOR CITY USi OiIL'1 �
<br /> _ _ Datc Seeeived �T(T7 �� � Ute Zonc
<br /> ' Plan N.�eck :lu..Ser '--- -- ' Fire 2onc '
<br /> ,Valuation r'C �` �� � occuoancy croup
<br /> • _�, C c
<br /> PCmiL Pcc � R'ype of Construction
<br /> tlan Check Fce ` Occupant I.o.�d •
<br /> . � 1bta1 Pcc Due �- •
<br /> /' � EprinY.lcra Required
<br /> . ' Datc Issucd _ /�7 ,. , , ' _
<br />
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