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. . _ . . ; _ . . - / 9,��� .Y .�
<br /> ' �f � ' " . ' IIOILDIl7G PEtiHIT APPLICnTIUN � . � � ' � ' �� T
<br /> •' • � �pplicant To Comple�c This :orm ' �'� ,����� •i
<br /> .. . i ' ' • 7s•.
<br /> • • ' .2f nor� than one buildinq is to bc contructed, submit a separatc � �rmit applica- •
<br /> . � tion for each buil�lin3. .1 separatc permit wi.11 bc issucd for each building.
<br /> � -�10vner � � ' _ � '
<br /> , �� .,;'N�u �t�,�� �gn�.lding Address
<br /> , .
<br /> ,
<br /> . � 1lddzess � �,3 G �1�..(.r,,r�..��, �l ,r-` Lot / - 2 Block _� �_ .
<br /> ' �. City ���j�� Phone3$t� -''`'1 i Sab3icision (Plat) � �v�� u�� ; '7',���
<br /> ' • Erchitect/Enqineer . � . . ' �
<br /> ' : '_'i CitY Phone .Hetes & Bounus (Unplatted) ' •
<br /> . ;,': Caatractor � Sec. ' A e . �
<br /> � , �P• 4 �
<br /> .. �. . ' 13dress • • .
<br /> . ' -City � Phone 'fiuilding Usc � ' • . �•; ' ' �
<br /> �"' � State License Nc�er Describe Work to IIe Done � ��``,V
<br /> kj
<br /> : ' .. _i 2�iration ,�at8 f���_�.-.-� ' '
<br /> �� ' ~ . � = �S2�TCFi PLOT ?LNI �3ELOW� • "
<br /> . :.1 . . . . • , . � Dse of. Building . __ '
<br /> L• . .. ' ." : C�hect ❑ Additi.on � Repair/&"ic_el !
<br /> . .`• � . , : � �,,
<br /> ' i� _ " • � . � • Va]nation of Constcuction $ Lf U D --��.
<br /> . .. • . . _ . .
<br /> �,; .. • . � , : . , rr.oT rr.r�r� �e.�oi^�s�yTs . . i
<br /> � .
<br /> . ,• ; ' , . ' • ' ' ' -Sndicate lot size, nan:e nf s:rcets,
<br /> . . � ' __ '; _ ' � ' �indicat-e location ar.c width of
<br /> _ �• •. . • • alleys, •locate aropo=ed a:d all
<br /> ' �� ... . . • . '` • .cxicting bui.ldi:as, sho:a dist�nces !'�
<br /> ` '` ' ' " ' '+ ' ' . �} ' -io property iines, ehoa distaaces
<br /> . • .� ' _ . .
<br /> , : : ' '._� • , _.:bet�;een buildings.
<br /> _ ' , • - . . , : ' • • - �
<br /> , � . r � � ' ; ,• • � tS.ot size x ' I
<br /> .. • � , . . • L�L- area Sq: Ft.
<br /> • ,;. = • ' - � . Sizc oP IIldg. Sa. Ft_
<br /> . ` S , ' • ' • � � - � Nmnbcr of Storics
<br /> • �. • i , • ' Dasenent
<br /> :.. . . � • �7 >
<br /> � � � . . �1Signed IIY . - 1 �/ . --��_�-•� �
<br /> • 3 . ; . . Far _ • �
<br /> . ' � Owucr Phonc �
<br /> - � DO DIO'-` P::2IT� 9�LOS�7 THZS LI7dE-FOIi C.'TY USr^, 0[tL'! � �
<br /> . �
<br /> • . � �
<br /> Dace ?;eceived IIce• zone �
<br /> ' Plan C:uck `�a:bcr ' ' Firc Zonc '
<br /> \'aluation ' �('�(�. �G Occuoancy Grou� •
<br /> Fcmiti Fce � `.� � �� Typ¢ of Construction
<br /> Flan Ched: I'cc ` • OccupanC Loi4 •
<br /> . � - �
<br /> . lbta?. T'ca Duc "-�r �=4� Spzinl:lcr� Requ!.r.cd '
<br /> ' P1te T::^.ued �7S� ' r '� , • , . ,
<br /> . . .. , . .. . I
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