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CITY OF 1:VENI.T1, <br />n!:1nl:rFu;I;r oll t:JI::•iiMTY 11IXELOMIMT <br />CONSTRUCTION PER.IIIT APPLICATION <br />DATE �tl� L1 C7 9 <br />ADDRESS 0.^• COltSTUCTION WORK <br />LEGAL DESCRIPTION: LOT <br />I'IIRM'I'T NO, _ /41LJTZ <br />Mim ISMIED <br />I'liIMIT ri.,E <br />BLOCK PLAT <br />UNPLATTI:D DESCRIPTION: _ <br />._. ._.._� <br />_,�.�_ ,�"�•-t c,� <br />RE110D1iL <br />BUILDING UESCRIMION: <br />N!'W ._ADDITION <br />.g� <br />or REPAIR <br />OCCUPANCY OR USE <br />11MjCI1TS <br />IN STORIES <br />IS THIS A CIItil= <br />OP BUILUIM OCCUniai :' YES . <br />_ <br />NO t-- <br />CONTRACTOR <br />OWN\9i1L <br />6Ditll;.:SS <br />ADDRESS <br />_ <br />PlIONP 1:UMER <br />co-.T'rm 'rOR' <br />SIC mat <br />E <br />TO <br />NI9 11 'r s C; .: P10:4 1lURl:. <br />t� ,•, , II1l . <br />PHONE KU:'lD; t <br />! -n E WANTS COMPLKTRLY INCLUD110 THE PLOT PLAN <br />a' IS li!ii;1.'0'::SI111:R rv3 ALL Ii:I+ORXA inN !!i.'IC'•1 <br />IN TilE P1.0'I: PLM OR D:!ILLIIRC <br />1:515:C!.) A nivin0:: I'O!t <br />APPLICATION RECEIVED BY <br />1.1.. <br />J , PIAP.i iFC ,_ DATE <br />2, E1;W4J'i:R'iC;C <br />TI:hL77JC 111YTSION' <br />I1t1'r171. SI:1!•c;(CE _ -- <br />S11IPIt S::RVIu. <br />3. . INSPiiCI'ION DEPARTMENT <br />4. 1--ill: 1141NMAL <br />6 - -=-7U <br />. rl "- )'C---� I - _—._ <br />NOTI:: AM. CO::::7'11IC"I'l011 W61% 84AM, CO';I'LY Y1.7'II APPLICAIILE CUIII:C" NOTES ON DNA I4INGS" f�ND <br />�C'L-vw/� <br />