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" �. .. � , ' � �. . • • � ' DOILDItiG PER9IT APPLICATIO:V � , ' . � �' �� � � � - :.•t� '--
<br /> ' „ , . . ' � Ilpplicant To Camplete This :orm � �%r�,�' � �'::f
<br /> , • • ` YY more than one buildinq is to he contructed, submit a e arate jy�..� •
<br /> . . tion for each buildin�. A c aratc ' � Pcrmit applica- '-'
<br /> � P permit will 6e issued fcr cach building.
<br /> • � amet � -�� `� J� ��.i� �," Buildinq Address ���LZ� � '
<br /> , � • . T.,ddress �� �- ,F ��,(�;�— � Lot , `; / ) r� �
<br /> � . �� � .� 4 II].00Y: �- .-
<br /> . City (�i��u �LT phone/ Sub3i4ision (Plat) ;
<br /> ' � dzehitect En . '^ - `--!
<br /> _ / gineer �
<br /> • ' �� f� � � � .�� _�;�. ,�c
<br /> . :, ' :•i ' � .
<br /> _ . _ ._j City Phonc Hetes & Hounds (Onplatted)
<br /> Contractor � � �
<br /> _ .:�'. / '- h .+ i ��=�� � � Sec. �'P, g e • �
<br /> �. , . i� &Idress ,I=>-r;�- i' � �� . . � --- '
<br /> - L `�, G
<br /> �i City <" c t.i C-:f/� Phone ,�, vz z
<br /> .�� ' 3 �` � IIuildir.y Use . . .: '
<br /> ,. ;.� -s'
<br /> • ;� State License Gcaher % �.3 - O/- E�/<% ��cribe Work to Be Done • ' •�*''��
<br /> ; : �I Ezpiration Dat� . ,
<br /> �� � �, . ' SRETCIi PI,OT PT�:,?7 DELO'4' •
<br /> -. ' • j , ' .. -
<br /> : ': � , ' . , • IIce o£ �uilding •
<br /> -� �. �' � . • .,. • �New ❑ liddition �rRepair/Remo_el
<br /> ' ' ,;�_t - '� r�._� �� �-.� _ � Valvation of Conctruc:ion $ .�o c 0
<br /> �s . �
<br /> �. - . - .
<br /> •� , ' C���� '� C1i-c�_�. '.. � � , , PIAT PLA:7 1:£QUZ�V.NTS . _ .
<br /> � . . .
<br /> �
<br /> • •' .; . � ' ` . Z�dicate lot size, na.^.te o° �trcets, �
<br /> - ,� ' .' 3 � �• '. . ' ' 'indicatc location and wid:hJof �
<br /> ..��11.L���L�F.�C'N�y , . .
<br /> . ,. . . , - : ullcys, locatc progosed a:d all
<br /> `�,� � - : � ' existing buildi:cs, sha.a distance;
<br /> - ; . � - ._ y �',.
<br /> " . ; . • . • � � • . 4o property lir.es, show distances
<br /> ' • ; � � . _ ' between buildings.
<br /> • + � � . ' • . Lot size ' . .
<br /> „_ , . _ ,
<br /> x
<br /> � � ' ' � � ' - '. Lot area � Sq. Ft.
<br /> . . s� r. ' . . � ' . � � Sizc of Bld4- Sa. Ft. �
<br /> . • ' ftumber of Stories "
<br /> .� :� j. . � , Basenent —
<br /> ' � v ,,
<br /> ` ' . Signcd IIy ;'c• - �. �
<br /> - i�• . � . . . . ` ��� < ��
<br /> ' ' . � . � ror
<br /> � � - . , � Qwncr Phone _
<br /> �• � ��� DO \0^.` tti:i?TL' tJ=L0E7 Tf3Is LT;4E-POR CITY ❑SB OiIL'C ` �
<br /> _ Date Seceived � 'Z� �' D=c Zone
<br /> ' Plan Chac;; _Ju.:,Ser ' ' Fire 2onc -
<br /> Valua:ion _ ���Q(j: «v Occuoancy Grou�
<br /> Pernit Fce 2-4. UU ; '
<br /> Typc of Construction
<br /> Plan Check I'cc � Occupant Load .
<br /> . � 1bta1 Fcc Due '-'�h-� �v ' .
<br /> , SprinY.lcrs Required '
<br /> Da[c Issucd � Z: )� ' �
<br /> • . . .. . . �
<br /> . . �
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