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. ,- <br /> C7TY OP LVLRETT PLRPSIT N0. ��.i v?� <br /> UI•;PI�RTMliN7.' OP COMI�]UNITY llEVl']�OPTI�NT � /0 77c/ <br /> 13UILUING PEP.MIT APYLICATION VALU�.TIOI� ' 00 / <br /> ^ n� ^� Y�RhIIT YEE <br /> DATE � �� "F �� <br /> I�DDRSSS UP CONSTRUCTION S�ORIC _��a i � Zcy1Z� �L� {�nCC' ��- e <br /> L�GAL DESCRIPTION: LOT RLOCI[ PLA'P <br /> UNPLATTED DESCRIPTION <br /> R�MODEL I,LCQC� � <br /> BUILDING D�SCRIPTION: NEW ADDIT]:ON OR 12EPAIR � � <br /> .� <br /> $ OF UNITS OCCUPANCY OR US? S'PORTES <br /> IS THIS A Cli�NGE OF I3UILDING OCCUPANCY: YES NO <br /> CONTRACTOR ��SC Il Q � ( t l�� 1LG U�tiTN�R ���e�,� (�Q�1 <br /> i•1AILING 1�1AILING o <br /> r�n��ss � ��� ADDR�SS ��� � � ;Y,.,o h a �0.��2� <br /> ----� n <br /> PI10NF NUMBER ��)����� ( PIiONE NUAIIIER ���j—�-7 d I <br /> CONTRACTOR`S LICE SE NUMBER ���-�i — I I"`I';X� _ <br /> SIGNATUR� (�,^ ti_� <br /> c <br /> NOTE: THE APPLICANT SfiALL P'ILL IN ALL ABOVE BLANKS CODIPI,ETELY INCLUDING <br /> TII� PLOT PLAN SK�TCII ON REAR OP 7 iIS S31EET. TIIE APPLICANT IS RBSPONSIBLE <br /> FOR ALL INYORM7ITION SVHICH IS roitr �SH�D ON TIiE Ai'PLICi�TION. ANY CHANGES <br /> IN THE INPOI2i�lATION, PLOT PLAN 0', BUILllING PLA.'.4 SHALL B� SUIIMITTliD TO T[�E <br /> INSP�CTION LIVISIf,N POR APPP.OVAL BEFORE PROCEliD1NG �9ITH �rx� CONSTRUCTION <br /> WORR. <br /> APPROVI�L: <br /> 1. PLANNING DATE <br /> 2 . ENGINEERING <br /> TR7IPFIC DIVISION <br /> S•71,'PER SERVICE <br /> S�WER SERVICE <br /> PUIILIC S�RVICE S�CTION <br /> . . INSPSC'1'ION DEPARTb1ENT <br /> 4 . PIRE P11112SHF1L ' <br /> NO'PE: ALL CUNSTRUC'PION �90RI( SHALL COidl?LY WITII APPLICAIILE CODES, NOTTS <br /> ON DI2Aj9INGS , AidD INSYI�CTIOi4S <br />