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' BUILDING P£RMIT APPLZC�iTION /" ��� � <br />. Applicant To Complete This ?orm /a%� ' <br />7i � <br />If more than one building is to be contructed, submit a separate parmit/ a pl'�- <br />tion for ea�h building. �separate permit will be issued for each building. <br />�/j� Owner � � .L� � l_i C'�l C . Building Address �� �' �� �C rv� �Cc--� c�.� <br />Address (�_�C� �� �` �'Y� , GL.� Lot/� 3,`�S Hlock �cZ. - <br />. City �; Y � .�' Phone J�� 7�- ;> Subdivision (P1at) ��l-�' ✓1Ll V S� � <br />� Architect/Engineer <br />City _ Phone Metes 6 Bounds (Unplatted) <br />Contractor .SQ��19t9 � Sec. 7tap. A4e <br />Address <br />City _ <br />Phone <br />� . �j State License Number <br />� ; Expiration Date <br />� SRETCfi PLOT PLItN BELOiJ <br />� s I <br />�n�r- .__-- <br />� <br />e <br />ENC-� <br />`.na <br />, y�JGY�l-4�-- <br />. I -- - <br />.,�_ �' �� � � �— — <br />.� u�':.Ci': :iliS <br />� ��/ <br />Datc _ecei�:ed /z. -/5' _ <br />P'_ar. Chec:: :iur..ber <br />c�'=� <br />Valuatio� � � C� <br />Pemit Fee 5 �� <br />Plan Ched: Fee <br />Total Fee Due <br />Da[e Issued __ <br />� /%�I <br />`X-� / �, l C,�C'/ lt 4ff" ��l- —I �� l� <br />Buildinq Use <br />Descri.be Work to Be Done ' <br />%Pi'1C'-C � � {-�- , /.!C10C�. <br />Use of Suilding <br />[�fjew ❑ Addition ❑ Repair/Remodel <br />Valuation of Construction $ <br />PIAT PI.AN REQUI4Et-0ENTS <br />Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, locate proposed and all <br />existing bui2dings, show distances <br />to property lines, show distances <br />between buildings. <br />Lot size x <br />Lot area S9• rt• <br />Size of Bldg. Sq. Ft. <br />Number of Stories <br />Basement - <br />; <br />Siync3 &y i ��-c.- I , / l�- L <br />For <br />Owner Phone <br />CiT'L GSe. O[ILY <br />U:.e Zor.e <br />Fire Zoae <br />Occupancp Grou� _ <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />0 <br />