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1 <br /> , EUiLDING PEFtMIT APPLICATION ` �/ � <br /> • � . . � • � �� Applicant To Complete Thie Form ' / / ��s � <br /> If more than one building ia to be eonetrueted, eubmit a eeparate permit � y/�/ � <br /> � bWldingion for each building. A neparate permit will be ieeued for each ' <br /> Owner�l�,������� Np1�.F;,=� c��>s Building Addrees ~'`�,\��C Cc�-4,y �VL-- <br /> Addres•�i.\�C Cc�-4,�� `�JE Lot\`��i:o�� Bloek �'�� �- 00 ' - <br /> ��7 C=vt=�iF\� Phone h'��.`���'-` Subdivi�ioa (Plat) �VE�F�� ' <br /> Arehitect/Engineer r�oNF_. . � � <br /> Ci�7� Phone Mete� k Bounds (Uaplatted) . � <br /> Contzactor �1�NFUp.�I ���1G-1`� Sec. Twp._Range I <br /> Addre��-~'t`�`��` WF_�11�P�E ��VE. <br /> City �VC-.�C�T P6oae�i'��-`��?�a,Building Use `��\o �',�_ l�ctF1,1C�� �1��111�6� I <br /> State.iScenee Number�'�i3-C�-3`}h'� �acriDe Wark to be Done � <br /> FspiraHon Date_��L�. \, 1'��y �T_ ':4+\F. \�cP�C H . <br /> . SKETCH PLOT PLqN SELOW � • <br /> •U�e of Building' ���� \f..F:- <br /> � � � , . . '. , - L1New QAddiHon f�Repair/,',er,odel <br /> • \ CC <br /> � � � . � � ValwHon of Conatruetion $�.CCO ' � . � � •�" �� <br /> ' PLOT PLAN REQUIREMENTS _ � � �i <br /> - . � Iodicate lot size, name of etreeta, � I '�� <br /> � . . . � iadiute location and width of alleys, . � <br /> � . ; � , � loute propoaed and all existing � <br /> � . • buildinge, show dietancea to prop- ' ��;�I � <br /> � � � _ . . etty linee, ahow dis[ancea betaveen �k�� � <br /> . . , buildinga. • <br /> . . Lot �ize x � ;�, <br /> i�o ' <br /> � Lot area _Sq. Ft. <br /> Size ot Sldg. �S. F;. <br /> � � - � � . � Number o[ storiee � <br /> . . . � � • . . . � Huemeet ' . <br /> � � Sianed By \1�. , nnv' / Date�h <br /> � <br /> • For �N�E:\rt�D1 �\L"b � \�,c'�'�� <br /> . ' � �Ovrner - Phone '�v�7�.-� C� - <br /> DO NOT WRITE BELOW THIS LINE _ FOR CITY USE ONLY � <br /> Date Received 5�� �7S U�e Zone_ <br /> . . <br /> . PLn Check Number �— Fire Zone <br /> Valtution ���d. � <br /> Occupancy Gtoup . <br /> Permi[ Fec �B• � <br /> Type of Conetruction � <br /> Plan Check Fee � - • Oecupant Load <br /> Total Fee Due ��• B� Sprinklers Aequired �� <br /> � . DatqIeeued '� , , _. _�_.� � <br />