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• 'i � - . . � • IIOILDItJC PERHIT APPLICATION � � '� . . /.������ �' ' .� ..�
<br />.. . , . ' . � llpPlicanc To Co:ap2cCc This .orm � � '; %/� j_�' ; {
<br />� � If rarc than c,nc buil3ing is to bc contructed, submit a ceparate pernit a� lic�- .
<br />� tie❑ for eacly,6uilding, ,� separnte pernit will be issucd for each buildiiig,
<br />\� y.
<br />• �L` trmcr � , . • .
<br />, _ 9uildinq Tddress -�'r ^ �l ' - •
<br />� Addzess ,.. - °�, ,
<br />i' . . Lot '7 - /: ; - ' •_ Block G i�,ti .
<br />, City Phonc � Sub3ivision (Plat) � ^ � i ,..�--' �
<br />, . ,
<br />• lsehitect/Enqincc: ' .�
<br />J ., ;.
<br />__ "'� City i__pbone Hetes 6 Dounds.(Unplatted)
<br />. :, �tractor �,� C � ,
<br />.. ...� , / - Sec. •h,.p. Rg� . '
<br />� ' ' 13;:ress , .
<br />' ; . .
<br />', -�ty Phonc �—
<br />��.:; . 'Duilding Usc - �
<br />' � Stzte Zicense h�:..ber . � •q`��- �
<br />_ . k•� � Describc [Porl; to IIe Coae �� '�"'� �
<br />. >.�.:r: �.
<br />; � �1 IS.iiration Dat� , � --.�- . .
<br />J, _ . .
<br />.i: � •
<br />. . � . = Sf�TC1I PLOi PL��7 IIELOid' - �
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<br />:.i . • Dse o: Suildir.g .
<br />, - - - . ; ' ❑47eN ❑ pddi.ti on ,,..,` ' � �
<br />_ .. . .. . . ' 1!d'�' pa._/r�- _et
<br />' ' ' • • • Valuation o: Conct=uct_oa $ -" y •
<br />� . ' . ' � _ -'i:-d
<br />� ' � � ' . . . - : ri.oT rr.,v� r�_GoT�:���:;Ts
<br />� . - � .
<br />' '� � Indicatc lot size, na.:.e nf strcets,
<br />� .� 1 . �- . �. _ • � � � � " 'indicr�te locatioa ar.c ::ic�h of
<br />. ;._j � . .:. : . . .� allc}�s, 'loczte propa_�ed a: d a).1 �
<br />. � . _ ,a .••�= -exi�ting �uil�i :gs, sno:v d.sta: ces
<br />� • � • • . -io proaerty L'ncs, :;hou
<br />� . "A ' , ' _ het�recn buildiags. �'istaaces
<br />,
<br />' ' ' . ' 3.ot sizc X
<br />._. .
<br />, _ � � • . Lot area � Sq. Ft.
<br />�; ' . � Sizc of Bld
<br />• • 9' Sa. Ft.
<br />' ',; , j� • ' S7m;ibcr o: Storics
<br />•�• ' • ' flasenent
<br />;� ' Signed fly �. �I
<br />. , _ ,._
<br />. � � � For � .•i. ..�=-." .
<br />'. Utaucr Phaic -
<br />\O'_' li:t_TT] 9_?.O?I 1H7J
<br />P.'.:C �:�CCIVCC� /j..�/_T_-75� �
<br />Pl:.a C:icc:; :7u �Sc� "�'
<br />t'alu�tion �l9. �G
<br />F�^iiti Fcc � �; �d
<br />P.an Checl: F'cc .
<br />.oc��. r�,c nu� �: �'
<br />r::c T:::;oca _--��3�75 � ---
<br />�FrFOii C;TY i75r^. 01:7,7
<br />Uce �one
<br />Firc �onc
<br />Occuu�j�cy Grou�
<br />TYpc ot Con,truct:ion
<br />OccuP�nC I.on�l
<br />�pr.inl:lcr� P,rqclred
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