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. . . . . <br /> �4!.; <br /> � <br /> o"a - <br />� <br /> r � <br /> :�� _ /�, <br /> .� � I <br /> ppplicar.L 'ro Cc-pintc :ris �_onr, / <br /> If more thin one 6❑:L�in; is to be contrucled, submit a separate permit appl ca J/� � <br /> tion ior each buLldinq. A separate permit •ail! be issued for each 5uilQinq. ' <br /> U.mer ��� ��/''�''� � J2� " � % �� Building Address,'�%�7 ? � � �� � <br /> ./� --�-----'_'_ <br /> � �� � ,•; = '.- Lot�_ Block c.^ '�__ G <br /> Address ���,''` -_ � '' ' i ' <br /> �' j <br /> Cit �-G"`,� - "i Phone�,Tn_«- �c, Subdivision (F'lat) . • :� /�- ' '��' <br /> Y —,--�`_ . � <br /> Arctiitect/Engineer ' <br /> Cit� �__Phone _ Metes s Bonnds (Unplatted) <br /> i <br /> �;� ._�.� n ; S^-_c. '�P� Rge - — � <br /> Contractoz _ --- <br /> . ( <br /> Ad3tess S/-'�,��-_ " . --- � � <br /> �� � � - Phonc � ,-,r •� �� ::,/_ Builfliag Use — � <br /> City . _ ( <br /> � Descri�e Work to Cc Done � <br /> State License Nuriber �i% ' � OI 1 �'�1%� — � <br /> � <br /> Expiration Date - '� f�- — � <br /> • � <br /> SKETCfi PLOT�PLi�:1 BEiC'J . ; � � <br /> Use of Building 1 <br /> i <br /> � QNew ❑ Addition ❑ Repair/Rer..cce1 ; <br /> / po i <br /> _ . ,%-"%�-v" /�'//") Valuation of Construction $L��� •'�- <br /> ( � <br /> � � . . . � PIAi PLAN REQUIHL:•IE::TS ' I <br /> � . <br /> ;,'lfj� ,�ly�(��%���� � - Indicate lot size, name of streets, � <br /> indieate locat-on �n� ,+'-�'-h oc , <br /> . alleys, locate proposed ar.d a1! , <br /> -'� � � � �' existing buildinqs, snow distaacas . <br /> � � . � � to �roperty Lin^s, sho+% �istanc�s <br /> � Uetween buildings. � <br /> i,ct size X <br /> " Loc arca Sa. Ft. <br /> cQ, c:, <br /> Size of 91da. __ <br /> . t:u-�.�er of Stor:es <br /> Sic�.<.i�a� / � i�� <br /> _ < ' <br /> i'o_ - <br /> � O�dnc Pnone __ - <br /> CO t;0'%----- ---__---_-..I=i.1'li�:_C?__�=ISY USE 0:7LY — <br /> _-___- ___ U: f �CIIC' " -_ <br /> ?, ,,. ......_.. ::cr_ ... _ <br /> F�..re �one � <br /> Valuation ____ -- <br /> Occuc��:y Grou? _ <br /> Pecnit Fee Type e.` Censtruction � <br /> Plan Checl: Fee <br /> Occur.�zr. Lo�d _�_ - <br /> , , �V., Spri.^.''::r.rs RcGuirc3 _.�_----- <br /> .'cti. : -` ---- - ----- - , r ��fJ'•_fT <br /> (�. , . i� <br /> �::<< �-=,,:. : -- - - --- - -- _ �� � -��,�-rra� � <br />