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' .� i�- 7 �` ,� . <br /> . • nuzr,t�7r�c Pr•,�zi�z�r Al'PL7CATION /�7 ' <br /> • A�?p]icant 'Po Compl r_tc 7`hi.s. 1�orm a���76 <br /> IL rnore L-han one bui.lding 9.s� to 1>e ron��L•ri�cCed, c:ubmiL- a ,e1par.ai):c permi.t <br /> appl.icat:ion for cach bui.ld.ing. 7+ scparatc pm'mit wi.l.l bc AJJLIC�I fo� c�ch <br /> bui.ldi ng. � _� � /� �� <br /> Oerner �.� �GS� S���.1�iC'� 13u•i.lding Adc]rr�s �.��'�%a�_��'�{/ <br /> naar���s �h'i.7, ��l/>Y — r,oL �/ n�.o�:�: /�'P <br /> CitiY C!'y 2s=� Phonc Subcliyisi.on IP1�zC) ��/iQr�_� <br /> Archi�ect/L•'ngzncer __ -- <br /> City Phonc 1deLe:. & Ilound:� (Unplat.ted) <br /> conLracLor .��f%'/'NST T/(�C: Sec. Tce��. I;ge. _--- <br /> I,ddre-::s !��/',.l>JC .Z/S � --- <br /> Ci.ty��� l�hone as�5;��� <br /> State License t�mnber,����/-//'3-f� — <br /> li::pi.:'atic;n l�atc ,3 i ��l <br /> — I <br /> Building Usc S�cf �.f"�- � <br /> Describe 170�1: to 13e Done I <br /> . ,/I � ,p���..nl �Y1�S � ', <br /> co„�:,,,--. rLo� i Lr:�; o:; �t:;��rs;�, str:; - .`� ,., <br /> - . �1; < :,�,�s�Jl� i , , -�r�r-..�,� <br /> 1�uml�Gr of Stories /`' _ <br /> �, __--- <br /> 13asement: <br /> � � . ]�e�•: AddiLi.on Rep�i.r./Remodcl <br /> Valuation of Co»�tructi.on i,So�� <br /> . Signcd ]3y .���Y'�— . <br /> � .. <br /> 3 <br /> For ,�'i'i�J��'-" <br /> Q�.� �„-y:.:<<��,one <br /> � Do t'ot �•1ri.te 13e1o�•: This r,i�,� -ro�- city Use On].y <br /> nate received . . . • ' use Sonc _� <br /> ISlan Chcc1: Numbel: ' • I'irc '/,onc --- --- <br /> Valuation ' • Occupancy •G�-oup <br /> Permit �ce • ` Ta�pe of Con�ir.uction � ' <br /> L�lan �l�cc}: rce Occupa�lL• Load ____ <br /> 'PoL•nl Fee Due Sprin;:lers Rec�uir.eci <br /> D«i:c Sssucd �_ <br /> � I <br />