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-�., <br /> . � . <br /> ^ <br /> 1' <br /> . , <br /> � <br /> � ' ' Applicant To Cor,.pletc •rnis �onn � ° ��� �/f b- <br /> ' If mor.e than one building is to be contructed, submit a separate permit applic�/ 7 F' <br /> tion for e h bu' ing. A separate permit will be issued for each building. <br /> . r. <br /> p�,T�r � Buildinq Address C �� � <br /> � ` �y W_� Lot py �_ - Block 3 <br /> - Address ,__ ' <br /> Jf��� `� �p A 1 <br /> � City�i � Phone"Y�c,J-� tiJ� Subdivisir,r� (Plat) �fi 1v. �`�l��L� � <br /> . Architect/Engineer lA') � '- <br /> City Phore Metes s Bounds (Unplatted) i <br /> 0 <br /> Contractor " � Sec. 'ltrp. Rge i <br /> Address � <br /> City ���_ Phone �- ��\�,� Building Use { <br /> � � State License N�imber a�('TV�-� � ,�o(� Describe Work to Be Done - �I , <br /> � Expiration Date �^ ^�� ��J ` . <br /> SRETCH PLOT PLA:7 BEiOiJ <br /> Use of Buildin <br /> p��, lh�7Q-t�, �JU`��� ❑New Addition ❑ Repair/Rerodel <br /> V �� <br /> ` � , „ Valuation of Construction $� �i S-0, � - <br /> ���, Y'� i ; �� <br /> PLQT PLAIJ REQUZR&'�IE`ITS <br /> �I Indicate :Lot size, name of streets, <br /> \� indicate location and width of � <br /> alleys, locate proposed and all ' <br /> j�_ � � �� existing buildinqs, show distzaces j <br /> , � . � �,1� � to property lines, show distances <br /> � 19--',,� . , p. betwcen buildings. <br /> ��7-''C , � ,� -� � ' � <br /> a, �` Lot size x <br /> � � �"—T Lot area So. Ft. <br /> Size of Bldg. Sa. Ft. <br /> Number of Stories <br /> gasc^ <br /> Siynod � � '�i N��w <br /> For <br /> � y ' Owncr Phone <br /> . DO NOT F7ZIT6 B�LOI4 THIS LINE-FOR CITY USE O:IT,Y <br /> �a`_c c.e±:•�a �"�. U:e Zone - — <br /> � P!an .::ec=: `:�-c__ - Fire Zone � � <br /> Valuation � �„� . � Occuo�ncy Group � - 2_ <br /> � Pemit Pee ��,_ n-o Type o: Construction � <br /> . Plan Check Fee �e , �� Occupant Loact <br /> � Total Fee Due T �, . W SprinY.lers Required <br /> � Date Iswc3 2 —� y� 7.5^ CITI' Of E\'ER�:TT <br /> � AFPRO\��U t0^ E'_,ILUI7,:G'PERt,'I1 <br /> r �/ / <br /> `Y Jl,`��"� <br /> o.�r=�!Y�7� �:_ . 1��,-_.____ , <br /> __ . , ,ac '�":io r::'L <br />