Laserfiche WebLink
- . . _ r_p .- . <br /> . . � ! . .. 1 <br /> • uuzr�nri�c rrn���z��� nr��Lxcn�rr.oi� � /.� ���-%h -� <br /> ' • ' ' .. ' /!3i <br /> . . Ap;i:l.icant• 'Po Com��3 eCc 'J'hi.:; 1?or.m ����G/�� <br /> Tf mo:c thin one bui.ldi.nq i,� �o bc con;i:ruci:cd, :.uU�nit a separ.��L•c ��e�:mi.t <br /> �i'P�-�-'�L•ion for cac1� l�uS.lilinq. A �cparaLc pc�-mi.L �ai.11 bc :ic;.ucd for c,�ch <br /> Uuilciny. �� �,/ <br /> 0�•mer �p � I'�v � �S / 1 rl2c ^' IIu:ildinq Address �/LS�-�(r /e,� �,�' <br /> P <br /> nuar._.;, �"L2Sr �- �P,.:—��2_ �°'� �� _ ��loc): �s�t3-63 <br /> Ci.t;y �u F'�2 F �F Phonc 3-$�=SS�� SuUd.ivi.si.c�n (]?.la�) <br /> ArchitecL-/lingincer �.�-�— , —�%� �`�� ��t"'� . <br /> City 1f 1'����� Mete, h Rounds (Un�)laLLed) ' . <br /> Con _ccL-or izw,J � ., �i���FJC� L,cic. Sec. 'P���p. �— r9�� ---- <br /> JSC14I'.S5 /O- L .�U✓� __ - . <br /> City ' y��_ Phone � b )-� ' ---- <br /> Sta•`_c Lice���c� t:umber � � 3-�2- 3k�ie • . <br /> E>:pi_>tion Dal:e — <br /> � . . Bu`].dinq Usc �� - <br /> Describc 1'or.1: /to 13e Donc _ <br /> . ^ r t ^i ;� A C��L �-e..Ce.��— <br /> C01�s�:' FLC? I'L1,1; Gli RrS�IiSG SID� . �-=--f <br /> � � Tum}>er �f Stories _ <br /> � � II�semeni: --- <br /> . ' , .• � idet•: Addii:i.on Repair/I:cr,iqr�el� <br /> ti�L <br /> VaZuation of Con�t�ucLion $ 9� <br /> . • • 9 � . <br /> . . � �a _ �Mr� -r.�_ <br /> . � . ' s�.��,�a nY `�.� , <br /> . roL �nor,J � "�r �R-�t <br /> -- � Ot•mer • Phone 'z7(, i��9_ <br /> . � � Do 1?ot: [•;ri.�e 13c1o�•; 'Phi.s r,�.ne -ror ci t:y U_,c On]y --- <br /> llatc :;ecei.ved . . , Use Sonc ' ---- <br /> IfJ.anC;�ccl: i;uml�er ' . T`ii�: 7�o�te -- <br /> Valu�tion ' • Occupanca� •Group ,- <br /> 1'c.rr.;it Fce • _ Type oL Con�i.i:ucLion <br /> P.lan Cl�r.c1: r.•�� � ocoti����,�,t: r.oad _—.. <br /> 'J`otal I'ce Due Spri.»):.l.crs Rec�ui�:ed _ <br /> Dai:c ls::ucd ' - • . . <br /> —.ac <br />