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__ • � .', � . � ,. • • • � � HUIGDINC PETtMIT APpLICATZON ' . � . ...� � ..�. /�./...�..y._� ,'!°s � . <br />• Applicant To Complete This : orm � ' �/, ,� �� ``��� <br />.. . � . • : ' '• � � y . <br />� •� EY morc than one buildinq is to he contructed, submit u e arate . �/3��� � <br />.; 71on for each b� ldin � P perniit applica- <br />. ��% 3� �l separat/e/_permit will �e issued for cach building. <br />. � ' Ouner �G/� .l�s •0. / !��-YG>� Buildinq Address � 7�f.�0 �-�-��„r��.1. <br />,� • . Slddress � .Z� c.,_,�..a. 'M j%v Lot • <br />Block <br />. . City Phone.3S 5 f7 ,�p Subdi4i.sion (Plat) ' <br />_ � • d7rchitect/Engineer �/` • , • . <br />' :• � "•'� CitY Phone <br />- - . '�j Metes 6 Bounds (Unplatted) � . <br />: . ; �' Contraator %�Q'� � c.`�-c.�--� ' ge�. �. . �, �� . . , ' <br />_ : -T 4 <br />•, ;' ' Eddress _ p0 -��G � �,S^�f` � • . <br />. ��; Cfty L -•��fi. Phone .j�� �fd 7 �. . ;. ; • i. <br />,{. , • _ Huilding Use . . :<;:.a �F- <br />�-' �p� �� Sc.ate,Licensc Na�ber ��3 O� �„?,Q` p�scribe Wor}; to Be�Done� `� ��'.' <br />; : . ,I Expiration Dat� %d --/ -. 7 �p ,�% �� � � ��.A�� � /�� '. <br />� �j �J w <br />��" � • ' SFETCH PLOT PL.l}t 9EL0[J� • C�C-�fi,(O.�".�.<<, .co-�, l.'.�y, �j x I tJ - <br />� '+. .. e �- � . <br />-. �.j .. . , . : Ose of guilding ° <br />f � ' � • . • . , ' �New ❑ I�ddition ❑ Repair/Remo�el <br />. . . � .j � . . . ' �' ` / ra0 . <br />, !' � . . ' • V.^luation of Construction $ f9 ✓r�-�' " <br />'• .. . . . .. __ � <br />�„ ' . - . �� -.. �. -. � , PZAT PLF�N REQUI?2E:•fEyTS . <br />� • . � . . . .. •� � � . . <br />-'.j,� � � � ' � ' . � �fl�icate lot sizr_, nane of streets, <br />' ' ' .•i . _ '�, ' " �indicate location ar.d w�dth of , <br />' ''' " �(J = : • a2leys, locate propose3 a,^.d all <br />' � ' - � ' existing buildiags, sho:a distances <br />- ' � . '/.' ' - /. '• � � • �- • . to property lines, show distances <br />� • � L � between buildings. <br />.. : .� ' . _ . . . . <br />;• , � � . ' • . • • . • Iot size X ' . ' <br />� '�_ � , . . Lot area ' Sq. Ft. <br />. �.'. r. -. • � .. � ' Size of IIldg. Sa. L't. <br />, ° . - ' Nutaber of Stories <br />. := .i . . . . Aasement <br />e .. . . `� <br />;� ���.-.- - � • Signed By /( Q �..�rac�-�, � <br />. ;. . . .. � - --��--- <br />' ' . � For <br />� _ . , ' . (lwncr Phone �,5� `fa 7 '� <br />. DO :IOT ICZ_TTL' B=LOS7 <br />• ' _ Datc ?:eceived �p � � � <br />' Plaa C:�ec;; :7ur..ber • <br />. ,Valuation _ �p �% `�� ' <br />Pemit ree �- <br />. . �' <br />Plan Cl�ec}; Fee <br />. � ToCal Fca �ue `% � U <br />Date Tssucd ' •� %L� � � <br />N <br />LI:dP.-POit CITY U52 OiiL'1' <br />Dce• Zone . <br />Fire Zone ' <br />Occunancy Grou� �_ <br />Type of ConsEruction _ <br />Occupant Load • <br />Epr3nklcrs Requircrl i <br />. . . . , � <br />.; ;•; • <br />