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<br /> ._ . . . . ��:;i.i c.:ul. '�'c (:u.�.,1 ..�c :11ir. C'c:�::ia /��-,'' "i
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<br /> . ' i,^ ��ore than one buildin9 is to �e cont:ruc'ced, submit a :;eparate pernut applica•-
<br /> � , , �So:i for each buil.din3_ �l ceparnte permit 4�i1). Le i�sued for. eneh building. ,�
<br /> : � " a.,r,er _J�H>J 1l. LAK� nuiiaxn� naa��,s � 3i/�% �a4i3ii/CIJ /Z�/�
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<br /> ' r,aaz�zs .s�r 8 La`�I3��a APr ��l _ r.�t i 8� 1`i _ A�o�i: ��
<br /> . City ,���T PJianc �.52---rKl� Sutr3ivi�ion (P1aL) _ ��CI�CT/ �fti�J C'c�s
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<br /> s • .L.LCI71tCCL'�Eugincer _ __ . ---
<br /> _� C_ty ^ Phone S4eCcs 5 Dound: (Unplatted)
<br /> - ..; Crntzactor � . Sec.�� K'wp. P.nc _..,.
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<br /> ' . , .,r:dzess __ �_____A .— --- --
<br /> .. ' y�'�':' '.._ Pi�one �UniJ.din9 Use - � . � - ..
<br /> �'� '� �'� � Describe S4orY, tu Ec Done �SC. RfPi�l��i��
<br /> " �'�j � St.te,License P.u.:1�c� ' � ,
<br /> . �,� '� f:cpiraLion nat� _ -_
<br /> �ti � �� - SI.T.TCIS FLJT PLi�'.7 9E:.GFI� ' — -- --'----'--
<br /> . . : � � Us� �i Bt�ildir.g /�I��S�'77'���7S _ .
<br /> � � . . . _ �jl,c,: ❑ z.ddi::ion �Rcpair/Reme�cl
<br /> �' - � .' f,° .�'t
<br /> �- . , . . .. � Va7.vaLiot� o£ Construction $ <<'n _'_.._ .
<br /> � ': . : . . . — . .
<br /> �o . � � � . � � PI-0S P]'1`_?', RE4UInr'f::NTS . � �
<br /> ^ - � Sndicatc lot siz2, uar.�.e of stzeets,
<br /> . " � � . � �ii�dicatc loca�ioa ar.d wict:h o.`. .
<br /> ; �. -- - � _ - . � :;_?1cp:;, 'locate aroocsed .'.;:d a?.7. •
<br /> � ;y � � . - ' � . . . . � c;:i�ting builciays. snc:: d:.,ta::;�-..
<br /> j .t _ - r, .� : .. ; . . to p�:operty li��es, sho;a cistar,c�_r:
<br /> � beL�sen building�.
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<br /> � � ' . . Lo� :izc —X------- ---
<br /> , ` Sq, i L.
<br /> _ � . I,ot' area
<br /> ..� , � :ize o£ IIl.ag. _ Sc?. �'t.
<br /> �� ^.- - � . , 14wnbcr of Stories _.�.
<br /> . .. Dasc;nenc _____�_._ ---
<br /> ` ' .� :•;qnsd By --- ---�.
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<br /> :.. P•or -----____.-__.
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<br /> - i�wr�cr i u,�n� ---- - - --
<br /> � . DO 1:0:' Si:i:T: ��:LOi9 'J.iili LT;i:-FC1P. CITY USB O:�--.��--------"--`-. _ -
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<br /> I;�te 5eceived _7 2 � � �__. �ti::e� za- .-------- .
<br /> ' I�lar. C;�cc.; :l�:,bc= _. --- :'i_rc Zonc _..-- -- __
<br /> �?� �'� Occu?;ancy Grou,
<br /> �'�luc�ion � � ti�.._ ..�__ ..--
<br /> Pcrnit I'ce � � � �]'I`+- �'%- �enstruction _____^
<br /> . . � � • Occuy;mt Lo.�d . ---
<br /> Pl;.n Cl�cd: Pc� _ � -- '—"
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<br /> . ..-.;�;1. T'ce Uuc ._----5 � �� .`-:�:u:iiilcl.crz: Rcqci.z�d _,_,,,�__.�._-
<br /> ? r.t_�:• :i:::�ucd _��---��Z 2�2-3-/ . • . f - ' . � � . .. �
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