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<br /> " • • : • fl�plicant To Co:npletc 'Lhi� :'orm . , '!
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<br /> . . ' 73 norc tlian onc building icr to bc coniructcd, submit n ::oparatc pern`t applicn- '•
<br /> - . , S;S.en for eich buil�li::�. A separate pezmit will be i::;ued 1:or eacl� bui].diny. ,
<br /> , " ' trmer G60RGE� �• P.TR /£ Building Address �7 ,C�irors I�LA� E �
<br /> ' _ �dress /n O 'I Ki�JCt ,PLA�'F _ Lot - /3 Dlock � __ .
<br /> City �F.P�'TT Fl�otie 252-5G::� Subdivi_sion (Plal-? yJf�,v 2lp,bE ADO�rtn�/ ,
<br /> � .' • Fichitcct/i:n�7i�iccr • ��, i Fr� 'n �� c��✓ 4- . .
<br /> • �• '':� City _ P3ione F•[etes & L'ounds (Unplatted)
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<br /> f -City Yhonc I3ui.lding Usc �ARAGE ' '''�'�::_ .
<br /> ' � ��'�� �� Sttte.License tic.:.ber DescriUc S7orl: to D� Dane �yr<_LosE ,�•�� �
<br /> ' - . i L'zPiraticn Date � �x�c�nnir. '�ARP�a�'
<br /> ,a� . ' . sr�:l�c�r PIAT rr.;,ri IIF.L01'7� • — — -
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<br /> ' � � ' • • • .� : � . . - '�*a).uatior. of Cor.struction $�Q�� �
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<br /> � .. • ' � . . - ':YTlJT PL7�24 P.�QUI?2Li::]TS . �
<br /> " • � ; . . . • . • � . . ' ' � Indicate lot sizr_, nane of �treet=, .
<br /> . - .� ., , ' � - . . . . . . � ..in(fic�tc loca::ion -zr.d :ai.ct'� of
<br /> � . �- : . a17.ey•;� 'locat-c nr.oposcci �;.d all .
<br /> � . .'; - . .- � _.. • . _ I . er.i�::ti.ng buildi:cs� sho•.i,distaaces
<br /> � .o _L-u property lines, si:ow ��.stances
<br /> • ' '; . !�• ` - ., be�wcen builuings.
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<br /> � _ ��T 3 1J75� . � �i•r.e of Fsld,. _ Sa_ Ft.
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<br /> . . � 1tuLiber of Sto!'ic::
<br /> . � �.: . _ f:j�Y OF. �VERETT nasv:nent _
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<br /> . • � AO :70: Sti:2?T?i 9'LQ'.� 7'HZS LI;Ii:-"rOR Ci7'Y US:i 6i7L'1 - ____
<br /> U2CC �:�CC14Cd � u=C� �071� �. _ __...
<br /> .. ."' Plan C:uc}: `.ur..bcr '! '.�� `� _�. Firc Zonc Y- ----'�_ -----
<br /> l'aluation � _� _ Occno:it;cy Groi�p .,� .__ �
<br /> . . . . PCmiti Pcc ----_-- �']'1'c c�f Con;:truci:i.�n �U - 1�l---
<br /> ; Pl.m Cl�cci: t'ce ^ _` Occup:�nt T,o�d _
<br /> , Satal Pcc Uuc _._.___ � _ �S�:ri�:l:lcr: r,,quir�iS�Y E`'—E-1*�`?`�i"-fi---"' �
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