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� BUILDING PERMIT APPLICATIOIQ / /� J3 /"'; <br />Applicant To Complete This -'orm �/ � / � <br />�7/�j � <br />�7 / <br />If more than one building is to be contructe.l, su6mit a separate permit applica- <br />tion for each building. �\ separate permit •+ill 6e issued `or eac�,builsinq. <br />J� �' � <br />Owner (��� i. f?�/YI�'-�.'-��1 Bnilding Addrees J.�'�i`✓r^ - <br />Address ��(�i n. �fl°DNJfi/P�� fJ/I Lot SL U�//" Block l l <br />City _� Phone ! f:.i ;� Scbdiv��n (P at) U i' �J <br />Architect/Engineer - <br />City .P}�one �_� Metes 6 Bounds (Unplatted) <br />�� �( / 1 <br />Contractor / f� /1 � ��-`� r%` ^� ' •.'. Sec. _ 'iWp. Rge <br />r.aaress �I�D�fr'r'✓C. /% <br />l' �J c� .� <br />City Phone ��/1.3 V Buildinq Use <br />State License Number �fi.�� l� I �:� 7(_i D�sciih2 Work to Be Dpne � � <br />`.._ ' <br />Expiration Oate l ./ `1 <br />SRETCH PLOT PLA:] BELOIl <br />/ ,,���� � � ���L� / /�•/yI �; N� <br />� ' � / -�'�� � fv f �%� <br />/ y � � <br />/� � /��L�. � � ��,�i�.t;/_ �. <br />�1�� d <br />� <br />,/ i <br />` � � . ��rw,,. , � .�.- .,. <br />L � ;' : , ,r <br />` � <br />,�% J <br />` � -'> >'��' "' �v ��1� � ,:� ,/ <br />Je' f <br />;' %� c•1.t�,�� �U.�L��� � �%d�y�, . <br />�� p� � �� G-�� �r .�; . � ; <br />.� <br />i �, � i , <br />Use of 9uildina <br />� � �ip�.pq:.-/n.._..ael <br />❑New .- .�-�ition <br />Valuat_on of Constructi„ ���� _. <br />PLOT PLAN REQUIR&�1E:7T5 <br />Indicate lot size, nanc of streets, <br />indicatr_ location and width of <br />alleys, locate proposed nnd all <br />existing buildinqs, snow distances <br />to propertp lines, sfiow distances <br />between 6uildings. <br />Lot size <br />Lot area <br />Size oE <br />t�um6er o <br />9.15C.^••C^F <br />Signed� <br />ror <br />Sq. Ft. <br />Sq. Ft. <br />��}j� , <br />rf� <br />i���V <br />DO NOT l4RIT^ ?�LOI'7 iESIS I,I:Ic-�OR CITY USE O:ILY <br />]�te . -- --:c:'. -- U-e 7.one - — <br />P!an �..c�cb: `1cr=_- <br />Valuation <br />Pemit Fee <br />P1an Checi: Fee <br />Total. Pcc Dac <br />Dat�, :�suc1 <br />Fire zonc <br />Occuoancy Group _ <br />Type of Construction <br />Occupant Load <br />Sprinklers R�quired <br />