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/�'��.3 <br /> � � Applicaa: 'Co Ccr�.p�etc 'rnis •.onn a�Sl��� � <br /> /// <br /> � If c�orc than one buildinq is to be contructed, subnit a separate permit applica- <br /> tion for each building. �1 separate permit will be issued for eacl� buildinq. �/���rT <br /> / <br /> ..�y��-- - ��., IIuilding nddress �5�� �S/�{ �Sd� � <br /> O�mer f i�/. G �-- ' g / r- ' <br /> Address �i.--- -�f� 4/ Lots�'�JS Block (��a <br /> City Phonc Subdivision (Plat) /"�T �� <br /> Architect/£.ngineer - - �1���`"( � <br /> City _ Phone _ Metes s Bounds (Unplatted) � <br /> Contractor i'�Y ,� C, r'�i/c`-</.�,�Sec. 'I�r-�c . Rge <br /> Address 7� .CJ iC��%�:� . <br /> i <br /> City_ �'rr� p�ionc ��5��77 Building Use <br /> �� 1 <br /> State Licen�c 9umber "LZ3 p' //�%� Describe Work to Be Done i <br /> , : <br /> � �—� j /�_�.� ! <br /> ExpiraCion Datc iY - O! - 7d �, ��'�� � <br /> • I <br /> SRETCii FI.O'." Fi%,:: 6Ei.C`�.< s <br /> — - , � <br /> Use of Building � <br /> � <br /> ❑New � Addition ❑ Repair/Remode? <br /> � .�,�.J I. �Cf�., _ I <br /> Valuation of Constzuction 5 �o.���� � <br /> � <br /> , PLOT PLAN REQUIR&^IE::TS • ! <br /> Indicate lot sizc, namc of s:rcets, � <br /> indicate location �nd wi�'r c: • <br /> alleys, locate �roposed a� eil <br /> cr.isting buildinas, shoN distaaces <br /> , � to property lines, show distanees <br /> � bct�:ecn buildings. <br /> Lot sizc x _ <br /> Lot area �a. Ft. <br /> � Size of Bldg. Sa. Ft. <br /> � ' hun6cr of Storias <br /> r�:C7c^t <br /> �' �� .7 > _.e..J <br /> j1a:IG� ��� <br /> F'or � ° ��/i ��C�^'b" <br /> ' P�nc Pnone .,:-r�.S�7y l <br /> �;¢`'G�a..e �J�f'() <br /> ✓ <br /> DO 7.0': 4�::?T� ?5LO17 ':FiiS LI17E-FOR CITY L'SE O:ILY <br /> �„� ^ _ . _.. � ' � ` �� U:c �Cne _ - - <br /> F!�r ,...tc;. •,... . _- -- — Firo �onc <br /> va'_uation Occuoancy Grou� <br /> Pemit Fee Type ef Construction <br /> Plan Checi: Fee _` Occupant Load <br /> Total Fce ��e Sprinklers Required _ <br /> o,:` r=_u`, __ �I�l' O� EV[RFTT <br /> -- ?.^,",i,� f �R ('111LDirlG'PCRt,�;t <br />