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�� <br />DUILDzLI(; P�Rt9IT APFLICATION . � ��J <br />' • Applica�it 'ro Comolete This Form <br />� ��9/'/,t <br />If more than one buil.ding is to he cons!:ructed, submit a separate p:rmit ap- <br />plication for each building. A separate i:Lrtini*_ ,;ill Se issued for each build- <br />ing. , <br />Owner /��%/,! !7 .I �%T/i'/. C��X _ <br />Address �%SC� %�'1t� C/`��. l/N� c-7` <br />n <br />Cityf;,�%(�N� �y�-Phone6'vc7,,•%OG'/ <br />.lrchitPct• cS.f}-/Yjr� - <br />City Pitone <br />Coatractor ( � .I . (.by'� I QUC�ICq' �/�C, <br />hddress �%..`..�-�' •C.�C%flc'�-ol� n;�. <br />City �i9MAN1'J �S,(. Plione �'�-�/3�? <br />state Licens� N�;raber �%, � -G(- fY�3 <br />Expiration Date �'�_�/?_ ��C� <br />B�ildirig Address�j/�ZS-�C-�;.,CC��.7"j�.���, <br />Lot ,'9' Blk.�� Sec. `� <br />Twy. Rge. <br />Subdivision (Plat) <br />Metes & Bounds (Unplattad) <br />�c.Sc ��F �'9�'�•�F ,C�-7`/9 <br />73 � o�.E. �/3 rlJc,�'�`� f✓iC ; s <br />Auilding Use�/�� �� ��- ���`� ,5-, <br />llcscriUe Flork to Be Done <br />\�f),�G.7,9LL �FIH(CI=S•i '•,,�.+.s�= <br />'���,� �= � � - <br />Use of Bui.lding �"�-,�ry�v/C�N'Ci�/ <br />'_.New .�Addition Repair/Fenodel <br />Valuation of Construction $�`J 00 �� <br />PLOT P7,TN <br />Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, lucate nroposed and all <br />existinq buildin9s, show distances <br />to properLy lines, show �istances <br />between buildinqs. <br />Lol- size x <br />Lot area S.F. <br />Size of aldy. S.F. <br />t]umber of Stories <br />Dasement- <br />Use Zone <br />Sigaed By _yr� ��. <br />C � <br />For� ''./i <br />owner <br />DO IdOT It�RITE DELOt4 THJS LTNli-FOR CITY UiE ONLY <br />Uatc�Received /� ..�� /'7 (,e� Fire Zone <br />Flan Check Number ��7G� /p / TyK�e of Construction �,�, ��.a _ <br />ValuaLion / ��j0. F� Occupancy Group �._Z _ <br />Pennit Fee �S� ��� Occupant Load — <br />Plan Check Pee %� �� Sprinklers Reyuired <br />Total 'ree Due �%•��' <br />Permi'� Number � <br />Uate Issued <br />, APi ROV.6p FQR BllILDING pERMIT <br />Datc_i.f �%i� Tb p�_ K C <br />n- <br />