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CITY 01' L•'VlIIIIIE T <br />DE.PAR'IMEN1' 01-* (:Or?1I1NI.TY IIEVI-'LOVMIiNT <br />BUILDANG 1ERMIT APPLICATION <br />DATE <br />�'2Z IZ i <br />PERMIT NO. <br />VALUATION 'irCl <br />PERMIT PEE <br />Atmu:ss o: CONSTUCTION WORK 4r Z73 ct)cR�L-- <br />LEGAL DESCRIPTIO1.1: LOT BLOCK g PLAT b r t_ueRc fit" 1l <br />UNPIATTED DESCRIPTION: <br />BUILDING DESCRIPTION: NEW Lam• e.DDITION <br />REMODEL <br />or REPAIR <br />OCCUPANCY OR USE CTTRe� ?Svll� S HEIGHTS IIJ STORIES I 'L Fc t-T <br />IS THIS A CHANCE OF BUILDING OCCUPANCY: YES, ✓ NO <br />CONTRACTOR' jAE FAAI Lj- CoA)S"TL. OWNER sH t`�: <br />MAILING MMING- <br />ADDP.„>ss -,r vJ ADDRESS Z73 <br />'114,c6 2167 Lzl�Lr4C—.7_7_ Gc /%!L <br />PHONE NUMDL'R 4 2 �'1 PHOidE NUMBER /7 9 <br />CON PACTOR'S LIC ' NU1131i1: <br />SIGMURL•' <br />NOTIi: T115 APP44T SIIAJL PILL IN ALL ABOVE i T_d"0 COMPM.TPLY I1',:.L11llI:;G THE, PLOT Pi,_AN <br />SP.EMI W. RE!.R OP THIS SHEET. THE APPLICAI'T IS 1` 'P0:`';iiBL:i l'0' ALL Ii;.'0;-.1A.TION U111C;1 <br />IS MiNI;;ll"D 0:i 'rill., B.P.'L;':C f:']:0;`i. W.y CI'1.'r FS IN TiM PLOT PLAN OP 7311ILDIISG <br />PTAVS SIIAT;L BI1. S'.!BMI:TTED TO THE Il'ISPI:CTION DIVISION' FOR APP ROirAL BEFOR-E PROCEEDING <br />WITH THE CONS110C'TION 1011-1, <br />APPROVAL: <br />1. PLAMINC; DATE 2200, <br />2.. ENGINEERING <br />TRAFFIC DIVISIO;' <br />11ATI:B. SERVICE _ <br />Sr11M S^IIVICE <br />MILIC SFRVICE SECTION <br />3. INSPLCI'ION DEPA1'.' MMIT <br />4. FIAT, MARSIVa, <br />NOTE: ALL COI;: J',11CT.IOII F1011: SHALT, CO;iI'IY 11ITH <br />INSPEIC'TIONS <br />C0DliS, NOTES 014 DT:AWINCS, AND <br />