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Applicact 'co Ccr:.letc 'tais �. onn <br /> � <br /> If nore thin one buildir.-.7 is [o br_ rontructed, subnit .� sr�parate permi: �pplica- � <br /> tion for each hu:ldinq. D separate pern_t •,ill be issued for each 5uilQinq. <br /> /� <br /> tr:ner �_� . i �;7�ou ) UA2�1��- Buildiny Address zz� `! c1�'�-C.��.«✓ j <br /> -, <br /> i� <br /> P.ddress �j wd-t,�_ r.ot <�� ?i 3�' Block �U �� <br /> CiEy /� v'ic� Phonec�5S:3��� Subdivision (Plat) � ���-�v��J ��. '�� <br /> Architect/Engineer C-�in, i C_� �'j' "-�'`'=�-- � <br /> . <br /> City '_ Phonc � Metes s Bounds (Unplatted) <br /> Contractor �Z.y��� Sec. 'ri�rp. Rge <br /> :.9dres� <br /> City Phone _ Buildinq Use L%y'/oY-=� � <br /> State License Nu.^�ber - Describe WorY. to Be Done ' <br /> Expiration Date _ �D,O/Tio-�) O..i G�9i='-QG���= � <br /> SRETCH PLOT PLi.:: B6i�'9 _ � <br /> �c_J� �.��' ,l'��-,•._� Use of Duilding 'v ,.ii p . ��.J �, .� <br /> / r �� . <br /> ❑New Q�Addition ❑ A�paiZr�R�ec.�c,�cl <br /> �' '� � :_ <br /> Valuation of Construction $ �"' �� <br /> � . PLO?' PLAt7 REQUIRE�lE::TS . • . <br /> ]ndicate lot size, name of street�, <br /> ir.dicate location an� wi�th o: <br /> alleys, locate proposed ��d a'_! <br /> existing bcildinqs, :^.ow disca____ <br /> • + to property lines, show dist�r.cc.s <br /> � between buildings. <br /> Lot sizc 7S x .��� <br /> Lot a:ea �/' ��a -'— Sa• F`_• <br /> . Size of Blda. ��y� ���� Sa. Ft. <br /> - ' � . \umY,er of S�c�-es �,T � <br /> � °�=c-c^°.: �i�¢�'csc—� <br /> � <br /> � �, <br /> Siync9 3y ��� i ��J<-���� <br /> For <br /> ' O�.ncr Phone <br /> DO NOT P::.?TF. r�LO[: .^.•iI5 LI:7E-FOR CITY DSE O:ILY <br /> ]"_c _ _ . .9 - 2--!� 7,��� U.e �one - — <br /> - �, <br /> Pl�r ,,.__.. .._r._- ---/_5=��7 T'ire �onc � <br /> t%_lua[ion Orcucancy Grou? <br /> Pemit Fec Type o: Construction _ <br /> Plan Chcct; Fcc Occup.�n[ Lo�d _ <br /> Total Fec Dcc Sprink,lcr❑ Rcquired _ _ _ <br /> Dac�� . �ru�:3 ? ��n � � l ^ � � .' � � ; . ,. �i <br /> ------ . . . , , . . ��,� �. . <br /> �.' <br /> � W�"[u c•�IL2E.C.ia�Y-15 Na'C•� . ( <br /> � 2-/� /-�� � `'M.(.Cy-�.-.--_,__�� <br /> ��. <br />