Laserfiche WebLink
d . <br /> CIT'i O:' �;vritr.�„" PL•'IiMZT N0. �,'J <br /> j�U <br /> DEPnP.'P[•51:;�9` OI' COi�;:•iU1SI'PY DT:A']iLOPMBNT � � '� <br /> BOILDII:G PL'iu1I'P e1PPLICAT70il VALUATIO[v i D�• b0 ' <br /> PEIhKIT Plili . ��� <br /> vnTa 7' - � / -' � �' ��— <br /> ADDRESS OP CONSTRJCTION S90RK � v2��� - /� ��,L�•L�� <br /> LEGAL DESCRIPTION: LOT BLOCK _ PLAT <br /> UNPLATTED D�SCRIPTION �� ,,,, . �.�_T.t �'— ( ' <br /> � <br /> R�MODEL <br /> BUILDING DESCRIPTION: 2dEW _ ADDITION OR REPAIR � <br /> $ OF UNI1S � OCCUPI:NCY OR USE i o STORIL'S �_ <br /> IS THIS A CHAPIGE OP BUILDING OCCUPANCY: YES NO � <br /> CONTRACTOR � _ �¢c�,r_„�, J"��(!y-e3 ' OWNER � � �- <br /> NIAILItiG ,(� MAILING <br /> ADDRESS / 7a ��_/��.��! ADDRESS <br /> � n C* 1-// - 9�1 ,�.� <br /> PHONE NUDIBT'R �—.�(.7 ���U PAONE NllP1BER <br /> CONTRACTOR' S LICENSE NUtdBER ��J ,� � —/� �'"— �°� / 2L <br /> SICNATURE / <br /> � <br /> NOT�: THE ARP ICAIvT SFIr1LL FILL d ALL ABOV� IILAIdRS COb7PLETELY INCLUDID]G <br /> TISi, PLOT PL'?d Si:PTCII O'.`, REAR Or^ THIS SF?B�T. TISE r1PPLICAD?T IS RESPONSIBLE <br /> POR ALL Ii:P02i,'lTIO:: i'IiIICFI IS FURT.IISIiED ON THE APPLICATIO[d. ANY CH�lP7Gi5 iy <br /> IN TfiE INFORi•lA�ION, PI.OT PLAN OR BUILDING PLANS SHALL B� SUIIt 3TTED `PO _: <br /> I�SP�CTION DZVISIO.d POR APPPOVAL BEFORE PROCEEDING i9TTH T3� ONSTRUCTIOi7 <br /> WORK. <br /> _' l_ <br /> APPROVe�L: ; � —�_ <br /> , � ,, <br /> 1. PLANNING � .`. DATE , <br /> 2, F.NGIIvP.ERING <br /> TRI�I'I'IC DIVISIOi� _ <br /> �•;F�TLR SP•.RVICE <br /> SEWER SPRVICE <br /> PU�LIC SE]:VICE SECTION <br /> . . P.:Si'ECiION�EPAPTbfED7T " - <br /> � ,z � <br /> t <br /> 1�!.CGe ^ ��L - 7 <br /> 9 . PIR� MnP.SH�IL <br /> NOTP.: ATS� CO��S'1':L`CTSO:; �;O;:c: SItALL CO:iPLY Z�IITII APPLICA�LE CODLS , NOTI:S <br /> O:1 DI:P:P7:f;dr.;S, ?�}ill I?�:Si'I;C'P10?]S <br />