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- • J � � I <br />• � ' � . � � .• . . /� / � ' .r .S -.� <br />� . II6tLDIt1G PLRHIT TfPLICATION �� <br />� " �. ' , • , � Applicant To Canplctc This :orm ' � �, •�/� JS ., <br />� �•' ." <br />, ••� It r.orc th�n onc building is to bc contructed, submit a scparate permit applica- <br />.. tion fo: eacl� buildinq. el separntc permit will 6c'issucd for each building. � <br />�i /J e ' 1 � � '� . 1 <br />. �/'� 6�mer (Fi �e�ia,E�.✓ L �, / /� �� Auildinq nddress �i0/G' �O�/ ' <br />, , --� <br />. . etddress �% j;i' �i �n i L. Lot o: y� Slbck /cz ' <br />' . � CitY � i/C./,%(, i i Phnnc ?.5��- �` ��:'� �ub3ivision (Plat) � �i !JY Ll S! ( 0 �� <br />�` <br />' • 1,rehiteet/Enqineer � � � . , <br />"'� City Phone .Metes & Dounds (Unplatted) � <br />_ =i , <br />� . .,��. �Caatractor � ' Sec. 14�p. Rge� . .. <br />, �3..^zess . . . <br />... •' ,City � Phonc •i3uildina Dse � � - � ' <br />�� ,. ' - _ <br />_ �'� �� Stzte. License N�:..ber Descri�c SPorY. to Be Co, e ���'�'' ., <br />- . ' . . � ' T--. <br />: : � �i }�?iration nat� � � �> ���7 i%� �i /�'G= �,:' �, — . <br />iJ_; a . <br />,�:�- . - <br />; . <br />• SRETCFi PLOT PL::1 BELO?d' - <br />� . . <br />:.1 - ' " . � IIce o� Suildir.g -- . <br />- � � ._ � .�� _ . ; ' �ldea O.addi.t�.on �epair/.ez�,c���1 <br />� i _ � � • . •Oaluation of Con�t=uct_oa S /, CY l'' ' <br />� a ' . . . � � � . i . . <br />=_ � .. � . ' •. ..PLOT PI'L� I'�=C1UI?tE}:;`:T:i <br />� . . � _ - . . . � <br />'.�' ' ' Indicate lot si.ze, na.:.e of street�, <br />� �' ' � � � ' � ' " •i.ndi=ate location ar.d c:idrh o` <br />� .. . <br />. .. _ . .'. - . . • al.].cyn, •loczt� nr000sed a: d a� 1 � � <br />.. - '.� - _ ..'. - . . . . . � I ' .cr,isting bui.ldi:.gs, snc:v distaaces <br />' 'A • -.to propertp lines, �how distar.ccs <br />- � ., . <br />, " s • - _ betti;ecn buildi::,s. <br />� ' . • - _ ' . . <br />r <br />7,ot eize x <br />Lot arca Sy: Ft. <br />Sizc Of 91d9. Sa. F•'t. <br />- NIlIR�JCL Oi $S:G�1C5 <br />IIasenent <br />Signcc7 IIy� lt/� . -- <br />� For � v _� <br />Owner Yhoi�e <br />DO \0"_' S•:2TT� 9_?A�7 THIS LI::iC-:Oi2 C�'TY DSE O[7L'L � <br />Da;c �eceived 7�� Uce Zone� <br />' Plzn C:�ec;: :Iur..Scr Fire �one ' <br />C� <br />l'aluatio❑ � ���� � Occupancy Grou� • <br />Fc::iil Fcc � lC/. �G TyPc of Constructi.on � <br />Flan Cl�rc}: L'ec �—1 _ OccuPant T.oad _. _ <br />1 � ` ��� �, v r <br />� '3ota.. 1'ca Duc __ .,prinl:lcr� P.aqct.r.ed <br />I�a;o T:.cu'rd . , C.�(i� ��' . . . ; . ----�-- <br />------�1_�1�� � -- • • - <br />, <br />