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-. �� : � � , "�� ' ' � � 1DpILDING PERHZT APPLIC?�.ION ` .. .-. .-^ .�•.._,.. },�• •�-
<br /> _ .• ' ' . ' R}�Pliccnt To Conz�I.rte This _orm ' .�•/�:J���'/.
<br /> j . • ' ; � ' :
<br /> . • � Z norc than one buildin is to oe contructec'., submit a se arate . � / 2
<br /> `� P Permit �a���Y� ��
<br /> . tio¢ for each huilding. �l sr�a::ace permit will be issued �or each buildin9.
<br /> . � � 6raer 'q, G ,/+n��;> Bci3.ding Address �Cc'7Z.�-! � � ���Ft7=,Kx.'
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<br /> , • . 133SC¢s //%[�%,f�? h �-` flt�� -_ Z.ot i,�//j�/�
<br /> Slock /? '
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<br /> - ,• �1t7f i��, . 7� Phone .SS C�l i Lf Subclibision (Plat) „i,c �,!,� � : '
<br /> � . ' . -
<br /> _ )rehitect/Enqineer i�•„-„r:;�.,,� J?rs�i:>✓ • ' ' . • _
<br /> ' ,' ' -_>� �ty h.-.w� �;i Phone 3S5 -�� � _.—_
<br /> � = '" j ._ .l Hetes 6 sounds (Unplatted) •
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<br /> - ;,• C..^ntractor �.�,�;�r�. :����,:, �� �-.,.t� See. . , -
<br /> - ��, . Tcri. k�c .
<br /> _ • �;• . '� I:3ress i�un 3 '�� /'v!: . . . . .
<br /> ��: CltY �-vr'K-T.. _ Yhone -'SS-Cb'�(1 Bnilding Ose ' . . _': . ..-��
<br /> •ii .�:� . . . ��_. �e -s�. ..
<br /> � .,.� .: -. . . . . � , y1rY�..
<br /> - ' ;� State.License Nti..-�her ,��?-c/-/G%G3 Describe Work to Be -0one '� *�
<br /> � : .. '1 Er�iration : at� _ C -1�1.- 7( . - . ' ' ' ' ' ..
<br /> ��� � ' SF.IiTCH nL'uT PL.�'I H�:,G?•T� - • -
<br /> ' ' • -
<br /> : : I � �� • /JCLF - .• . • � [JEP o£ 9uildiriy •� ' �.
<br /> � i —.-�- _ �
<br /> �• ' � :.�.:_,� - . . . . � . ' , . .
<br /> - �. .;� � � �Nes7 ❑ Addition Q Rep�ir/Reao::el
<br /> . . - c' � -\;��:•�. � �: .
<br /> �•�, - : . 1• : ' . `r . = '. 9aluation of Cranstruction $ �
<br /> . � -'
<br /> .. ••. . � . - \':'� . .. . _ •. � i .. PIA7.` PS1�27 iLQUI3r'•I:;ITS �
<br /> � �� � �r. C .}�. �'^� • I ' Sn3ica«e lot si.ze, r.ane of = et^� r7
<br /> ' ' � o " � ��"� •indicate loca.ior_ -Znd ui�th�o�
<br /> � ' i ' .,t � .: _ ;i .-��-- allcys, locate nrogosed aad �ll �
<br /> _ ',,. . _ .
<br /> �� ' .i, � ' • exiating bui:ciags, sho•:r cist�nces
<br /> - � ' � � -. ? - --- . '- - . �o property iines, show distances
<br /> ' ..i. � � '�'a, _ ' between buildings. .
<br /> " � �' - �. . , . - : Lot size _�S s- //�. _ ,
<br /> : .i- � . I � . . ' _. , . Lot area _h;' �S�r: Sq. Ft.
<br /> � , , .i.` r.. — '�6 �,L�;.�' ' � � . Size of Bl�g. ' /�-ru-� Sa. Ft. �
<br /> t '�d-� ' Na^�ber o: Stories —�
<br /> •r• :� . j. � � ..'�" , Baser..en: � --
<br /> 'v �' ' • • �"`a Signed BY I r•.l� �-��,._- . .
<br /> ' �• ' _t a,� L.
<br /> i: • I . aor v.
<br /> • . .- _. �G I , .� . Owncr - Phone 55- "':� . -
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<br /> ' • �—� . . .
<br /> ' ' : l_.1�t�--i='�_f�� � . . • ' .
<br /> .• DJ ;:0:' SCZT_^5 9ELOti T:fIJ LI:IE-POR CZTY USE OiIL'1 '
<br /> • . 112[C �:CCC1VCd �� �j � ' • '�_
<br /> . , _ _. L 1�75 , IIce• Zone ,E- Z ��liv4LF �ic.F- /��4i�
<br /> . i
<br /> ' � Plan C:icc; ::ur_Ser _`]�- ?�,Cjc'. .. Eire zone �3� - _ -
<br /> •. Yaluation '?� ZF �L�-(. �U _ Occuoancy Cror�� � �
<br /> � -�-/- �
<br /> Fcrsit Fr_e ('��i.e- �"` Type of Construction .Y- •
<br /> Plxa Ched: Fec � �•�= ' �
<br /> , ic �'S• Occupant Load
<br /> . ;utal Fcc Duc L. p c'� �u_ • .
<br /> • .. . £p�inklcrs Requltty�t�Y n� r�rr�7�j�
<br /> Datc Tssucd ���� C�j1' � •' � • A�'PRO.VED FOR. GUILDING PGRNIIT
<br /> • • � . . . .. • - •
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