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� . , <br /> -� • HUILDING PERMZT AppLICATION /�P���l - � <br /> Applicant To Complete This ?orm / 0 "'� <br /> If more than one building is to be contructed, submit a separate permit appl�a-/y <br /> tion for each building. A separate permit will be issued for each building. <br /> , � 0►mer f��iEe !�h ii.x k FK ,� ,C� Building Address �o �L �' ,( <br /> o � <br /> . Address Lot�s�� 26 Block <br /> 7�� <br /> City '�.,�kiiyy� . Phone Subdivision (Plat) �j,�,C,�-ij <br /> Architect/Engineer ' <br /> i <br /> .. City Phone _ Metes s Bounds (Unplatted) <br /> , Centractor ��r,re.cn.t�,;0 Sq„i��,(,��u�� Sec. <br /> • �p• Rge <br /> Address �3ovPr.C.�...wmm�) <br /> City E,�,�,r,c T Phone js"3 .a i iA Buildin Use <br /> , �� g I�A.Q ic.../G �C m j <br /> � ,; State License Number Describe Work to Se Done �� <br /> Expiration Date �ja � �i � �Q �d S ny. ✓c, <br /> ��, SRETCH PLOT PLAN BELOi4' • <br /> - , �o.✓C'.f/' /'.� S' �� c.1v�C - <br /> Use of Buildinq � <br /> -� � Oxew <br /> ❑ Addition rf�'i�pair/Remodel <br /> . <br /> ' • Valuation of Construction $ �mm�� `� <br /> .,,.• <br /> ' � . ; pLOT PLAN REQUZREMENTS � <br /> • Indicate lot size, name of strects, <br /> , � � . , indicate location and width of <br /> . � - alleys, locate proposed and all <br /> . ,� � existing buildings, show distancca <br /> � • � to property lines, show distances <br /> � '� . ' between buildings. <br /> ' - • T.Ot SiZE? /S g � �.� <br /> . _ Lot area 6 ao o Sq. Pt. <br /> � '�' ' Size of Bldg. Sq. Ft. <br /> � Number of Stories <br /> :.. ' Hasement <br /> � : Signnd 5y �1 (�CLf <br /> ��� <br /> For �im%� l�i�iTcc.� `� <br /> '�T- <br /> Owner Phone <br /> `� Z z -�_�j// /3/� �/r�,so.vs/:/ <br /> DO SO: ::3ITE 6PL0{P iHIS LINE-eOR CSTY USE Gi7LY E'!'���// � <br /> Date --^,=ceived _ Uce 2one <br /> Plan C.`.eck 4u-;,er Fire� Zone - <br /> �aluatio� Occunancy Grou� <br /> Pemit Fee <br /> Type of Construction <br /> . Plan Checi: Fee Occupant Load <br /> Total Fee Due Sprinklers Required <br /> Datc Issucd • • <br />