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- - BOILDING PER[�fIT APPLICARION. . . �. - .._� . �^ . ..-./ �D U �/ � <br />Applicant To Complete This ^orm � �� � <br />.,��i���s <br />If more than one building is to be contructed, submit a separate permit applica- <br />tion for each building. 11 separate permit will be issued for each building. <br />Owner \� , 1 1,J[��1 Duilding Address �j-�VQ - <br />Address ,. _� Lot �;- '� Block ��(,, �-GO <br />City ' �,('� �. , Phon � _ R%��Q Subdivision (Plat) �Fj � � <br />\ �nm �uo 1 (�A� �:, <br />Architect/Engineer ` � . ��'L�f` <br />City � Phone � <br />0 <br />Contractor ( �QC��i �-'�,��1 ,� i �(QP.'4 ,'�_: <br />Rddress � � �Kl � �'�(Y'`C <br />Cify �? �� Phone � � CO� <br />State Licens? Number�r��-�)�-����� <br />Expiration Date � -;��0 - � � <br />SKETCH PLOT PLnN BELO[•7 <br />Dzte 'ocrived <br />Metes s Bounds (Unplatted) <br />Sec. <br />Build_ng Use <br />7Wp. Rge <br />Describe Work to Be Done <br />� ;tc°ZC:C! ( ����1 — <br />Use of Huilding <br />r]New ❑ Addition ��pair/Remodel <br />Valuation of Construction $�Y�I(� f�C� <br />PLOT PLAN REQUI2Eb1ENTS <br />Indicate lot size, nam< of streets, <br />indicate locaticn a:�Z caidth of <br />alleys, locate proposed and all <br />existing buildings, show distances <br />to property lines, show distances <br />between buildings. <br />Lnt size <br />Lot area Sq. Ft. <br />Size of Bldg. Sa. Pt. <br />Number of Sto�ies <br />Basement <br />Sign�d By � � — <br />\ <br />Por 'V'�_��, ����..-�.l�.s.,��% <br />Oo;ner Phone ` <br />�O NOT 6;RIPli ��IA[�] TFIIS LI�]E-FOR CITY USE 0.]LY <br />°1an Ciec:r Numbcr � <br />C;G <br />7nluation �-�,�(�„ <br />Pemit Fee �j„ l� � f� <br />Plan Checl: Fec <br />Total Pee Duc <br />Da:r_ ?ssue3 <br />U_e Zone <br />?ire Zonc ' <br />Occuoancy Group <br />Type of Construction <br />Occupant Loa3 <br />Sprinklers Required <br />CIT1' r`F r�i[:;.'_"i_:i. <br />APPRO`.�!:I� �i`., i'. �;�.��r <br />��.�'.('_. . <br />■ <br />