Laserfiche WebLink
d <br /> C]^."i Oi' T:`i!:I'.rT?' PL:khSIT NO. <br /> DP.Pl�P.`1'P1liI�'i' Oi' C031:•i0;i7'PY DE��F�T.OP;IENT ��� <br /> IIUII,llING Pi:l`-iI'i AF'1'L7.L=.i IC:: VALURTION " G''� , U <br /> '' , PE1::•iIT FEE , f"_�b <br /> DATE �)'�' / -� " � `� ' <br /> ADDRESS OP CONSTRUCTIOid �90P.R �J �� /�-D�`-I�''� I' D ,(/.i , <br /> r7 1' �^' -a �Is Z ��!� <br /> LEGAL DESC�IPTION: LOT�„�^ � ^'/ / BLOCK �� PLAT ,9 ,(�� <br /> UNPLATTED DI;SCRIPTIOi1 <br /> BUILDING DliSCRIPTIO'r1 : tdES9 ADDITIO;J REi•iO�SL —� <br /> — � OR REPAIR <br /> ,ur OF UNITS OCCUP::_'.CY OR USL' STORIES <br /> IS TFIIS A CHANGE OP BUILDING OCCUPr1NCY: YES NO <br /> COP]TRACTOR � OS4NER ��O � J--� C' r�/� <br /> I�.AILItiG Ti11IL7LIG <br /> ADDRESS ADDRESS �.�i I � 's-��-c'__�� . --- <br /> PHOIvE NU:•.BER PFIO�IE NUb1BER };� . l%.�JJ�7' <br /> � <br /> CONTRACTOR' S LICE:4S �NUDiBER <br /> �� /� �-- <br /> � SIGNATURE �� /' <br /> � '�— <br /> y NOTI�: THE APPLICA�v'T SHALL F'ILL Ii� :'aLL .`+BOVS IILI\'1i�S COii?L':TELY INCLL'DI:`:G <br /> TIIE PLOT P:,::9 Si:EiCP C: R:�+R 0:' TEIS SEP.'''.T. TfiE .APPLICi+`iT IS RESPOi1SIBLE <br /> FOR ALL Ii�:'0?t�i=�1'IO:: i•:3ICI� IS FG?c:ISHE�7 ON THE APPLIC: '_'IOiv. ANY CIiANGES <br /> IN THE I�IFOR'•iAiIO':, PLOT PLl?4 OR BUILDING PLANS SHALL BE SUBMITTED TO THE <br /> ItdSPiCTION DIVISIO:: PGR �1PPFOGAL BErORE PROCEEDI;:G I•7IiH TIIE COj�iSTRUCTION <br /> WORK. / <br /> APPP.OVr�L: / ��`—" <br /> 1. PLANNIP7G ,l��X�CL " !/ DATE �/ '¢- 7� <br /> 2 . �NGIi1FERING <br /> TRi�L'FIC DI:-I'��ION <br /> S•7ATER SERVICi, <br /> SE�•7liR SERVICE <br /> PUL'LIC SEF.VICE S�CTION <br /> ?. INSPPCTION DEPARTI•iE\TT ' <br /> —���l�/p ^//{^ 7w <br /> ,f '��ti�� /° iN-�L, - . <br /> --�J---� -- --- � � �� _ <br /> 9 . FIRH I;�IP:�FIAL ' — <br /> NO'Pr.: aLL COidSTiiUC^_ IO': �;0'r:': �ie'�i�:. CO'iPLY T'7ITti Ai'PI�ICi�SLE CODES � IdOTI?c <br /> 0?I DR71S•II:CCS , AND I:;c';';;CTIO:'� <br />