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; ��s� <br /> ,� Applicant 7'o Complete '1'nis :orm � .� / <br /> /� i <br /> If more than one building is to be contructe�i, subnit a separatc petmit applica� ' S � <br /> tion for each building. .� separate permit s+ill be issued for each buil�inq. ' <br /> Owncr �t.�� f �a ti y�Jacrs v r� Building Address a o 6' �I�s�4 J�//�o /� c�, ; <br /> i <br /> Address 2-O,� �-tpa �'h✓i �on � Lot Block <br /> City - v�i'P Phone�2 �'9-���U Subdivision (Plat) � <br /> Architect/Engineer [ � <br /> � o,��ia�f r a{� <br /> City Phone Metes 5 Bounds (Unplatted) ���r �3 o.1 �f �, <br /> Contractor y�n ✓��• �a �l4 o r H Sec. 'Rap. Rge � <br /> �/ <br /> Address <-/ / s SyH r � 7� 'h°n �P <br /> City �- oi./ Phone .� 1'9-5-'f jY� Building Use /� a'e �� � <br /> State Lieense Nutnber <br /> ot.� 3 � d/- �3 f Z Describe WorY. to Be Cone � <br /> Expiration �atc � <br /> . i <br /> SKE".'Cft PI�OT PLe�:: BEi0�4 i <br /> _ . • � <br /> Use of Building _ i <br /> ; <br /> . ❑New [�Flddition ❑ ?tepair/Rer..odel <br /> . C=� � <br /> � <br /> Valuation of Construction 5 /,C� O U <br /> � . , <br /> , PIAT PLAN REQUIRr'�tE::TS . � <br /> . Indicate lot sizc, name of s:reets, . <br /> indicate location �nZ ���"-h o' � <br /> alleys, locate proposed snd �'_? <br /> existing buildina,, s'r.ow 3ista�ces . <br /> , � to property lines, show distznces <br /> ' � betwcen buildings. <br /> Lot size x <br /> � � Lot azea �a. Ft. <br /> Size of Bldg. Sa. Ft. <br /> •�� � Nunber of Stor=cs <br /> p°=°�°"` -- - ,, O� <br /> Signcd 3y �M� � '�`"',�.�v <br /> . <br /> roz /�// N� ,�e� .� <br /> • — p�„.n none 7 ��9- r-v_,�jG <br /> DO NO: IdZI'i� E�LOP7 :HIS LINE-FOR CITY USE O::L] <br /> Z 5 GO'c��- <br /> �..� -_,,, _a _ U: e one ���.W.�� <br /> �—��?,,.. _..__.. ..,.. . ._ Fire �one � <br /> Valua[ion Occuoa�cy Grou� <br /> Pemit Fce Type of Construction _ <br /> Plan Checl: Fee Oecup�nt Load _.__— <br /> Total Fce Dcc Sprinklers Requized __ <br /> ����Tv - � - r� <br /> /� Oatc Issu•�1 _ � l:� . . . .. � . <br /> �.\..lJ�+a�.r�.v v"� (i� ��7� �'��...�.�. . : . ; .._, '��' <br /> ,: a.�c�/1 a �--- l",a.C,C,��+"1 <br />