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� 1 <br /> . ' F _ � <br /> •• ' � �I ' �— � � • y9pILDIt.G PF.FL�-ITT APPLICA".'I0:7 � , � � � � ' • ' ' ? <br /> " ' , , �+iPZicanL To Completc This Sorm ' ..'_ <br /> � • ' .S:f ;.ore than one buildi.nq is to Uc controct•ed, suUnit n suparahe peiinit applica- <br /> . , Linn £or cach buildinq. A separ.atc permit will be issued Lor cach 6uildiug. <br /> � /J <br /> . ' ' Otiver <(. .� ' Duildinq Addresa �,,� � ��.�y.t:r..:�' <br /> ' . Fd3ress jp//�2 �7���-, .,� _y_� Lot� � / I 137 ocY. �D ` /�O <br /> Clty ��, Phanc�)7 Q Sula3ivisioa (Plat) /��t„t, ,t/�zy�(�/�✓-• /¢ <br /> ' , • l�rcliitect/Lngineer � � � ' ' <br /> '"� City Phoac ' .P.ctes � IIound� (Unplatted) <br /> = -I -- --- .. <br /> ., Cc.tractor � _ Sec. Tcm. Rge � <br /> . , _T_sdlres3 . . , <br /> - - — • `� � <br /> !. .:iL-y F'hone ` L�ulding Usc `��/J'��=:', <br /> �� �, . . �/_`�; �������� <br /> ` �� State License NcnSer B�sczibe 6or3: to Be Done 1��ld61.r�� <br /> 1 � . J 3�-l+iration D�tc .�. _..J (J__tZ�FL�J�� ��-� <br /> �1 : . ' ' : SRF.TCil PI�OT PLA�7 IIEI,Oi�I' • � ' Q.i����;�G <br /> . ) <br /> ' . . ' i . � — . • Asc of II�� "t�J � <br /> . . ;.q . . - . . <br /> � - . . . ❑i:eco ❑ hdditien Q�Repair/::cir�c:cl <br /> - � . � . • :' . 1�..7; . <br /> � .. ' .� _ � . � .� : � � . . � C'aluation of Cor.stn�cti.on S /�5 rlJ. � . <br /> .� � _ <br /> . • : rr.o.^ Yr,a_� i?FQJIL:i::L.:vTS , <br /> s <br /> � ' • 7nuicatc �.0� ±].ZC'� namc OF 5:'_CCLS� <br /> ' � ' + • � � • . � � � •inuicaL-e locatzc:i �and width o: <br /> . f � '" • allc lccate proposed a:d all - <br /> ys, <br /> .. ' +''� • . .. . . ' CY.).DtiIIn b�il�.'.ings. shc•.v d_s:ances <br /> .. ��,� . � ... . .. . . . : ., � .. - � . . � t0 pioperi=y l.ines, sho;a distanccs <br /> � � . - � . bettiecn l;uilciings. <br /> T ' - � . ' ' I.CIt: ,l'l.C ✓ � '2- X��_.'_" . . <br /> r .._ ' • Lot area S�. Pt. <br /> , _ � • � Size of Bldg. '� Scr. f'C_ <br /> .. � . }rmnher o.`. Stozies <br /> , ' . ;� � uusec�ent _--- _ <br /> � _ , �_� �4-'4`+ <br /> .,, ',. Si�Ji1C 1 E� ._. .� l r_!- <br /> • . � <br /> • '. Por ----- <br /> Uwncr Phonc <br /> ' DO ::OT 1::2i�i': .^E::OS7 TIf7S I,I:ii:-�bit CIT'1 ❑:' OIIL7 <br /> D�ce �eceived Dce 7,one -�-----.. <br /> Plaa Chec;; ):m:�er ^ Fire Zu;ic ^ ' <br /> \'��luation �� —�-- Occ�,:pancy Grcu� _— —, _ --- <br /> . . � I�._r�it' F.:e � 2.Tc of ConstrucLion �i <br /> L':.�n Ciicc}: Pcc __� Qccupaiit Lo�d . _^.�__ . <br /> . .�•l;�l Pee Uu!e _. ... ��?r.i_:iL�M1r� Itequ?red __ � �_ . <br /> 7..-.. . T::�:r.�.-�;3 _.._._..__'—_------'--- -�-- ` . � . ' . , . _ I <br />