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� ` _ . • r,...Y • , <br /> r <br /> APPLICATIUN FGR U�E PEfifJIT <br /> euilding Permii..I�o. C.VE2�7T .''. r� n1� .�.�:. %�T« <br /> Addr s 3 � � ����� Name of Buildinp � t- � �';` � <br /> Floor� ` <br /> �ccupancy ame t��TT G1-I iP� �zA'��C GL � �.I: c <br /> Description ��1ain Floor Occupancy CNi�dl��'f\T �c c"� , ni :c <br /> Basement Uccupancy �' ��.1TA t� A P�-�� <br /> 2nd Floor Occupancy <br /> 3rd Floor Occupan�y <br /> U{her Floor Uccupancy <br /> Legal Description of Property Lc�75 �,�\ , �� .•' L 1';Cc rt�_ ' �_ <br /> ���/=�T C� �, �U� P-C�T i �Il�IStC�N � ' <br /> Construction: {Check one) New � Additien Alteration __._ <br /> Remarks: _ _ <br /> .f.,'C-T/'c/'ac;,Ji�i� Co.�.�S - co ,..c/G � <br /> Application Date ����'�' 13• 19G"� Signa.ure/�7>i�rt� -�_Phone �� ' `�- I e'�C% <br /> TO BE COMFLETED DY CITY <br /> Type of construction Group Fire zone <br /> Conforming Building Yes_ No I <br /> Conforming Occupancy Ye$__ No <br /> Immediate �'rior Use <br /> Additional Comnents <br /> Floor Load Sigr; Issued Yes �o Capacity Sig�s Yes No <br /> Issued: nat� By <br /> J <br />