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<br />' � � ' ' ' B�SLUII4G PEIitSIT APPLIC717.'IOt4 � � � ' :.•�
<br />. . • . . }.lapi?.c::nt Tc� Complet:c Tliis :ornt , ' • .'��?J//�•!'i
<br />•� S� twre tihan one Uulldii�g is to be contructed, submit a separate peimit� applica- .
<br />:ion for each builcli.ng. �1 separate pern;it will be issued for each building.
<br />. � � Cruner __L%S(�T//G �g/r-l(' �v'✓�"✓� llui7.linq 1lddres:, � �lF .
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<br />C1.t�• ��_�-�- z�hone..7Sj-</'y3-% Sullivisioxz (P�at),��1��_�' A�'���'�`,j.
<br />' , - I'sciii.tect/Engii�.ee.c �G-oNFa,�', Cr-i,t � ._ •
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<br />.' ;:� � State.I,.icense t:t::.juer ����� /�879 Deccri}�e Y7or1: to Be �ane f3,�?>,� pr/t��.'•"'
<br />` : •� i 7':..'piration D�tr /O-3i-7 J ' - .�Cc� 'yJP('f.� ,S¢j� �nFrIC,�M'� , .
<br />+1: �' . . SP•ETCI1 PLOT YLAPI D�I,CTJ� • �ly�('u�(i'�_��,.f__�=���Z/_ .
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<br />.'. � " . II' - J�e of: IIuilding �
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<br />� QNe�a [] nddition �}.rRepair/Renc�cl
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<br />. �' ; _ � c� � � �. � Valeation ot Const•ruction $ �� "
<br />L � � �� ' �..1� . - . PLfJP P1..*v� REQUJ.TLE"IEi:7'S _ .
<br />�. . ' ' . � - � V?]� � . ' . � f � tndi.cace lot si.^.c, nsrae of tr.eet;, .
<br />-' ' � ' � � 'inclzcate lo^�tion �a::d ::�icthJo:.
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<br />. � •.I . allcys, 'loc��tc �ro�o�ec: �r.d all �
<br />. ' '-' . ' . ��� . � .ezi.:;ti.nq builci:9s shn�.r dis�s.^.�:c❑ � .
<br />'� ' �.. � ' �t � � : . � io property lines,�;how dist�nc,^:� �
<br />. � � �, Q � - .. F�etwc�n bu�_lciings.
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<br />:. _ Datc ?:ecci•acd �i�i ---- t7�c� 3onr. .�_---.---_- --- --
<br />' I'1as Check :'L�aber 7�J '"�•7�� Firc Zo;�_ '
<br />Valuation �� ._! �J� �� --- � _ � O::cuu::r,cy Grou4 ---f--7 =---_ ..--
<br />i:r:n_t i'cc �_ ��• J�� ------- C``-;�:_ c+f Cona'�recr.i.on �-----•
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<br />�: •;n!;:� T'cc D�.�n IO• �1 ;•, :;::.,::: � r,l:,�TY,. Q:F+.:Fc}:ERETT .
<br />� �� � ~�`--- � � ,APPRQVED FOR BUILDING�PERtvitT --- `
<br />. • c�• :; . �„ / ' Date� : �i �-T Qy �� r'� .
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