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� `,-- / <br /> / <br /> .�..._ � ���� � � ' -� , _ ���, �/ , <br /> �� � --- � �� , � <br /> APPLICA�ION—FOR DUILDING PERMI� �/�,1� /� �� <br /> ' � DATE �1 �'�'�' <br /> NAME � � / � <br /> k�� I / i a Yn (/�yi1 c��� _ <br /> ADpnrcc _� �G � �-, �c ✓� �� !U �v e ,a E,y-7" l�ri zrr co�E ��07��_ . <br /> � <br /> HOh1E 041NER BUILDER OR CONiRACTOR ` ( � <br /> ADDRESS ZIP PHONE �,;-`�`-5/�1�� � <br /> CONTRACTOR'S LICENSE n SEWAGE PERMIT '� ;;�i�'-j`� `"� <br /> DESCRIPTION OF BUILDING IYPE OF HEAT��,�_. <br /> ADDRESS OF NEW 4UILDING, � C- ;.-� �.';:-�-�� .%�� .; �DRIVEWAY PER�4IT � <br /> 'T WIDTH OF ROAD <br /> LEG DESC P I N: <br /> SUBDIVISION ',,. ��T�;i� :: !��' ' '�%ZONE DLOCY. /O LOT � 1 ��' <br /> LOT SIZE �� � SEC. /5 TWP.-�? �,'> RGE.�_16th SEC. <br /> MEETS OR BOUNDi, <br /> OTHER BUILDINGS ON THIS PROPERTY: ACCOUiaT WO <br /> BUILDING �IMENSIONS: <br /> MAIN FLOOR DIMENSIONS � � ��__ .,: X� __STORIES__�_BASEMENTJ,�%,-, �., _ <br /> DIMENSIONS OF GARAGr ���� CARPORT ,U" @-��, _ _ _ _ <br /> DO NCT INCLUDE GARAGE OR CARPORT IN THE FOLLOWING UNLESS GARAGE IS IN BASEI•�c:;-. <br /> SQ. FT. MAIN FLOOR PLAN N0. <br /> SQ. FT. ON SECOND FLOOR BASIC N0. <br /> SQ. FT. IN BASEMENT ( INCLUDE GARAGE IF LOCATED IN DASEFIENT ) <br /> THE ABOVE PROPOSED STRUCTURE IS TO BE USED FGR THE FOLLOWING PURPOSE: <br /> HAS CONSTRUCTION ST RTED? SIGNED - HOMEOWNER�,���� V /VT�` <br /> YES �dOf�_ <br /> CONTRACTOR <br /> 0 IC SE OML : <br /> �/�� <br /> V�ILUATION / ,� l-G, l- � BUILDING PERMIT NUMBER <br /> PERMIT FEE �� �G C� PLAN CHECK MUST BE PAID 41HEN <br /> PLANS ARE SUBMITTED <br /> PLAN CNECK FEE — <br />