Laserfiche WebLink
, <br /> BUILDING PERMIT APPLICATION ' /q J t/ 7 <br /> Applicent To Complete Thia Form / � � <br /> �/� �/5_ <br /> II more than one building [e to be conetructed, eubmit a eeparate permit <br /> applieation for each building. A eeparate permit will be ieeued for r.ach <br /> building. <br /> r � n(� n <br /> Oweex� _ Building Addreee�.'�yOc��l'1�R��IY�S �� Q�� . <br /> Addree j� "� �Lo � N _Block p� <br /> City Phone�_ Subdivieion (Pla[) `�...p'j"Qpk_ ���Ylho � � U.��� <br /> ArchltectJEngineer -- <br /> City�Phone�� Metee k Bounde (Unplatted) <br /> Contractoi(' ,lQ?�p� 1� n�0�,�Sea_Twp,_Range <br /> Addree ��� <br /> City�.V G � Phone .��� / Building Uee <br /> State I,icenae Number ,3-� �-//��5;Deeeribe Work to be Done <br /> ExpiraHonDate �"� '�S� �n�, :�v, (A.1�-(_�r�,�y_� <br /> SKETCH PLOT PLAN BELOW <br />- Usc o[ Buildinq• <br /> � New ❑Additton �]Repair/Remodel <br /> 00 <br /> � Valuation o( Cone[ructian $,��j__ <br /> PLOT PLAN AEQUIREMENTS <br /> Indicate lot eize, name o[ etreete, <br /> � indicate location and width of alleye, <br /> loeate propoeed and all exieHng � . <br /> buildinge, ehow dietancee to prop- <br /> etty Hnee, ehow dtetancee between I <br /> buildinge. <br /> Lot eize x <br /> Lot area Sq. Ft. , <br /> Size o[ Bidg, Sq. Ft, <br /> Number o[ atoriee <br /> �i ^ � <br /> s��}...-. � Rneement . <br /> .^}�,:,r.i.•. . —--� <br /> ( Signed Date__ <br /> � <br /> �„ : � For-.._� �alG��.�� <br /> Owner Phone <br /> ��f � DO NOT WRITE BELOW THIS LINE - FOR CITY USE ONLY <br /> - Date Recetved Une Zone <br /> Plsn Check N�mbet Fire Zone <br /> ' Valuation ,"y;)�. �D Occupancy Croup <br /> Permlt Fee Type o[ Conetruction <br /> Plan Check Fee Occupan[ Load <br /> Total Fee Due Sprinkler�. Required <br /> Date Ieeued <br />