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<br /> „ �, � . . �� ' ' EdILDING PERHIT APPLICATION � , � / ��7� ti7�a�y . ,i;i
<br /> , , • IIpplicant To Complete Thi� :orm b U •^ ,
<br /> .. . • � . . O /�7�'�.
<br /> • • � 'If more than one buildinq is to be eontructed, subntt a e ara[e / � •
<br /> . tlon for eacl� buildin ' P Pcrmit applica-
<br /> , � �. �l separ`tc permit will be issucd for each building.
<br /> . i � Ovaer � � � _ Huildinq Address ry��, (�. �.,y�� �..Q- ; .
<br /> � . , ( _
<br /> � � � � Mdress , �' Lot ,QP�� � °c� I elock �'
<br /> . � .
<br /> • , , �tN�*'<?Int � Q Phon �' - � Subdi�ision (Plat) �!-�C�1'iY �ry.A �f�_�. � "{
<br /> _� � � ltchi�ec Enqiaeer ��- ' . � (�' ' .
<br /> , — ��' r�� C� .1 �[�Il o��� .
<br /> � t� ��i • Metes i Dounds (Unplatted)
<br /> _; .� , ._ City __ Phone '�_ .
<br /> :� r� I •
<br /> .;��, Cantractu� n�`t�(l'�(�C�. d�� lR h �,,,Z Sec. YWp. Rqe .
<br /> � �
<br /> �• � ,' '��' Mdress � �< 1 P � ' � , � • . � ' , :
<br /> �� «tY ���`1�Q4 `; .r< �- � ; �.,
<br /> • 4� Phone ,�-1�1 Hnilding Usc :'.:��-
<br /> �r� � State.Llcense N�..^sber `-��--�\`-. � ���2� �scri� {Pork to Be Done �� 'l
<br /> ; �I Ezpiration Datt ��- 1 -'1 j� �—� � ( � .}7y��e Q '
<br /> `��' � � • • SRETCH PLOT PLA!I IIELOW' • -
<br /> • t•� '.�� • • , . � ^ r
<br /> Dse of Building
<br /> !' i • � • � , , ,,, � � []Nea ❑ Addition ❑ Repair/Remo:Iel
<br /> . . ,;' • . i'
<br /> , t' . � . • • Valuation of Constzuction $�� '
<br /> '• . . . '. �
<br /> .�"• . � } " . - • .' . . - ^ PIAT PL11tf REQUI?tE.�L:7TS
<br /> „ . .. . . . :�.
<br /> t � ' ' : ' ' • • Indica:e lot size, nane of streets,
<br /> ' ' � ' ' " �indicatc loca:ion and width of
<br /> ' • � � � . '::� � ' • _ : j. • elleys, locate oroposed ar.d all �
<br /> ' � ;�! • .:� ,_ � � � : . =� • existing buildings, sha.o distances
<br /> • � �� • � • � to property lines, show distances
<br /> . �. � �. . ' , . betwecn buildings.
<br /> , . � ' ;' • . ' • � Lot size x . - ,
<br /> :.i- � , . . . . Lot area
<br /> ' : . Sq. Ft.
<br /> �•. r:. . . � Size of 8 g. Sv. Ft.
<br /> � . ' • Number of Stories
<br /> .r,. ' :•. . j_ � . � - . � . • 8asement . . .
<br /> . ., �-
<br /> � .: Siyff� 8 _
<br /> y. . , _ `
<br /> . . . For_- ��1���-�.i._.�- '
<br /> • • , ' Owncr �hona^�'lel` _�i�TT��J
<br /> .. ' � DO :]OT ICiITS DE:.OF7 THIS LIN£.-•POR CITY VSE OIIL'L �
<br /> � ' ` —
<br /> Date Seceived � O:e 2one •
<br /> ' Plan CSee� :7ur,ber ' ' Fizo 2onc • '
<br /> ,Yaluation .,-��(�S�r,�- n Occuoancy Crou�
<br /> Pemit f•en Typa of Construction
<br /> Plan Check F'ce _ Occupant I.oad •
<br /> . ; ibtal Fcc �ua Spzlnklcr� Requirod ' � ,
<br /> Datc Icsucd ' '
<br /> • . . . . . -
<br /> • . ' ' . , .
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