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� �p '' �-�;.:� . :J: <br /> • � .•-' , , . . SDILDING PERMIT APPLICATION �/ �/ d � : ...�.� :.j . <br /> _" ' .• : _ • . ; ]lpplicant To Complete This :orm f�2 7s ` . ', <br /> . � / /' . <br /> , • 2! more than one buildinq is to be contructed, submit a separate permit applica- <br /> , , tion for each buildinq. A separate permit will bc issued for each buildinq. <br /> . ; � Ovaer /-tL'� �1Pi� ;�;ft% Buildinq Address � �/C9 j (")„t",, ;o e � �.� <br /> ' , �ddress � ,`'0 � (}�.c,�So .�' `� . Lot�,� Hlock . <br /> . City fu�;._;�.{ Phone 35S 6y/ > Subdivision (Plat) (°� r? P �,-�-(a�.rt� /�/.r� <br /> ' Atchitect/Enqineer (7T /��'� C-7= �o �i� �/�i'�� ' <br /> `"� City Phone Hetes i Sounds (Unplatted) <br /> � , Contractor -fc�LLA: (a„NfrV ��-.zi°. Zr..c.. Sec. 7Vp. Rge .. <br /> c . � ]lddress t��/�v -a.lr� 5,,� . . . <br /> ' 7 -/ �. <br /> !; City �_ c'r� c�t,a Phone J"/t� .] i 89 Building Use /(�c'_�� (+ �, < o__� '=.: -�:'..; <br /> • . ��� State.License Number .�7 3 c'� 2�o . Describe Work to Be Done ` �' .,. <br /> � : . �I E=piration Date ' ��c -� ��,� �=� �-C < < �' c___ � <br /> . / <br /> :� ' �� � SRETCH PLOT PLAN BELOW' • <br /> . . . � • . ' . . . � <br /> ' .. � : . � Dae of Huilding �� " �' ' _ <� L�� <br /> � � , ' ; , , ; _ � �New ❑ Addition Q Repair/Remociel <br /> . � " �; ' � � � � • � 'Valuation of Construction $ }���� <br /> . ' - <br /> �,,,, , . ^ . PLOT PLAN REQUIREb1yNTS ; . <br /> + . - <br /> . • <br /> ' + • • " �c�r�f Indicate lot size, nane of streets, <br /> ' � • ' •indicate location anc width of <br /> . , ( ' ' � • ' alleys, locate ?r000sed and all . <br /> • �•� / existing buildiags, show distances <br /> : tI - ...-� p r-�� ' • ' . •.•'= • . to property lines, show distances <br /> � � � � � ' • betaeen buildings. <br /> ' 1 �� . [//J� �J��, Lot size x . <br /> � ... . ' / ) �( ,/"; ' " Lot area Sq. Ft. <br /> ; r : � Lrd � � Size of Bldq. Sq. Ft. <br /> � t .. � • �i �t ��� tlumber of Stories <br /> . '.. . i� � �•_;t-�� ,�" Hasement <br /> :.. _ U-- � <br /> '. .� Signed By .�� v� i- ,' '��. <br /> •� _ <br /> . i � • • - <br /> . '. For ��f� 7r.��,�,.A..� <br /> Owner Phone _' �., G.,-� <br /> � DO :IOT S�:tITi BELO[�I THZS LI:4E-FOR CZTY USE Oi7L'L - <br /> - Date Seceived Ute 2onc <br /> ' Plan•CSeck :7ur..ber ' Fire 2one ' <br /> Valuation Occuoancy Group <br /> Pemit Fee Type of Construction <br /> Plan Check Fee Occupant Load <br /> . � Total Fee Due Sprinklers Required <br /> Date Issued � � . . ' , , . ' <br /> ' , � <br />