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d . <br /> CI'Pi 0:' PVI:RrTT PERh1Z'P NO. 3Ei <br /> DBPAP.9'Id!;;v'P OF CO`_d:�iU;?I'PY D�PIiLOPMEC]T S�U <br /> llUILllL';G P::R'•tI7' APi'LiC1,i'30;� VALUnTIO:•: 5 ,J. .'?77 ! <br /> ^ i�✓ /�� YliIu�1IT PliL' <br /> DI�TE 7�J <br /> ADDRESS OP CONSTRUCTION WORIC ��(� /vl /-��A �ij!`� !�t- ; � <br /> LEGAL DI:SCRIPTIGN: LOT � z-?�G� IILOCY. O,JjOU^J�iPLAT l ��j�!:r1��C:-=� <br /> � <br /> UNPLATTED D�SCRIYTION <br /> � --- <br /> BUILDING DESCRIPTIODI: NE��1 APDITION RE670DEL ��� <br /> _-- OR REPAI <br /> # OF UNZTS OCCUPi�:CY OP. USH STOFIBS <br /> IS TIIIS A CHANGE OP FSUILDING OCCUPANCY: YES NO '"i��"— <br /> CONTRACTOR OSVN�R (�J{�/��Gfir� � � <br /> MAILI\G hiAILING ,f� �/ / <br /> :�.i1'��k, ADDRL•'SS ADDRESS �ytJ�/��/i:�:!�'(iG� <br /> � _ � -- <br /> PHONE NUtIBER PHONE NUASBER �� '� � � J �J�� <br /> CONTRACTOR'S LICENSE NUb;BER <br /> SIGh'ATUR��'/%iji/� !-'`' C�l.'.1--`-'� "'-(?/iaP.h--' <br /> � NOT�: THE APPLICAivT SHeIL�L FILL IN ALL ABOVE BLl�lvi<S C0:•SPLETELY Ii�CLUDINC <br /> THL' PLOT PL'::I S?;i;iCil O`i F.r%�R OF THIS SI?EET. T[tE APPLICA"'P IS RESPOIISI�LE <br /> POR ALL l;iFO'.'.>::�i'IO:: S'7HIC'.I IS FUF.NSSHED OiJ TIiE AYPLICATIOid. ANY CHAI;GES <br /> IN THE INFORi•ieli20'::, PLOT PLAN OR BUILDING PLANS SHALL BL' SUBMI 'CED `PO ^tllP <br /> TNSP�CTIOi� DIVISION rOR APPROVAL BEI'OR� PROCEGDI�:G F7ITH TIIE - N:tTROC;.I0i1 <br /> SVORK. , > <br /> �� L.--Ly <br /> APPFOVAL: /7 <br /> 1. PLANNIA'G ,/�. (.�CC�( �� %�ClLfv DAT� � —S— .7� <br /> 2. ENGINE�F.Ii4G <br /> TR]�PFIC DIVI:;I027 <br /> S•7ATL•'1: S�RVICS <br /> SEj9ER S�P.VIC� <br /> PUI3LIC SERVICE SrCl'ION <br /> ?. INSPF.CTION D�Pi+RT.•]ENT ' _ <br /> 9 . PIRL I;AP.SiIAL ' <br /> NOTli: ALL COt:Sii:tiC;'IO:i !,-0'::: 511.'.1�L CO:;PLY SIITII ItPl'LICAPLE CODLS , Id0?'P.Fi <br /> 0�7 ll];1�.P7Ii�G:;, i�::;D I:GSc;iCl'1G:;S <br />