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2219 COLUMBIA AVE 2016-01-01 MF Import
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2219 COLUMBIA AVE 2016-01-01 MF Import
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Last modified
2/11/2017 10:51:19 PM
Creation date
2/11/2017 10:51:12 PM
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Template:
Address Document
Street Name
COLUMBIA AVE
Street Number
2219
Imported From Microfiche
Yes
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V•- --- -- . ._. . . ._- BUILDING PERMIT APPLICATION --' . -- --^ -- / � "-' �.J' t <br /> - • ' Applicant To Complete This ?orm ��� <br /> If more thari one building is to be contructed, submit a se arate //3/7�. <br /> tion for eacli buildin A se arate P Permit applica- <br /> 9• p permit will be issued for each building. <br /> O�mer. j;.: �� ;����� ��F'� --.F) .�� ^ - Buildinq Address <br /> Address -L Z/y' �; ;� /.� ,,., �- .�; Lot 2 G d 2 7 Block � % <br /> City ,�= �;,� / .• -- Phone J=� -� t "'�' Subdivision (Plat) �,• ��� /•�� ;�- . <br /> �.f <br /> Architect/Engineer � ,D, v - <br /> City Phone Metes s Bounds (Unplatted) � <br /> Contractor S A J� � Sec. � <br /> 'Pwp. Rge <br /> Address , <br /> City Phone Building Use I'�•'' '•�' •' � <br /> State License Number Describe Work to Be Done � <br /> Expiration Date <br /> SRETCH PLOT PLAN BELOt9 • • <br /> � Ose of Building <br /> ' ❑New �[� Addition ❑ Repair/Remodel <br /> . ' Valuation of Construction $ ,r0 D c� <br /> , ' • PIAT PLAN REQUIRE6fENTS <br /> Indicate lot size, name of streets, <br /> indicate location and width of <br /> alleys, locate proposed and all <br /> existing buildings„show distances <br /> " •` to property lines, show distances <br /> between buildings. <br /> . 7.ot size x <br /> Lot area Sq. Ft. <br /> ' ' Size of Bldg. Sq. Ft. <br /> . . Number of Sto�ies <br /> - easement <br /> � Signed By l�' - �' ;�, , <br /> For <br /> Owner Phone <br /> DO NOT WRITE IIEL0I4 THIS LINE-FOR CITY lJSE 0:7LY <br /> Date 3.ecei.•ed �� /�- 7 y Uce 2one <br /> Plan Check Number ��/��/ Fire 2onc • <br /> Valuation Occuoancy Groun <br /> Perciit Fee - <br /> Type of Construction <br /> Plan Checl; Fee Occupant Load <br /> Total Fee Duc Sprinklers Required <br /> Datc Issuc3 • <br />
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