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' '. . . Applicart 'fo Ccrpicte '1'nis :orm /���� �(��� <br /> / <br /> I: nore than�one building is to be contructed, submit a separate penait appl ca- <br /> Gion for each buildir.g,.��1- separate pormit will he issued for each 5uil�inq. �/�U!(� <br /> e•.:nec ,�%n{+/Xl/ `���//MrF" C`-=4''� Euil3ing ;,ddress /.5��, �S/y �Sdd .�;i <br /> � . �'_ �a <br /> Address �<s�� �17GKi yat'S�'"`SS Slock [,s <br /> City Phone Subdivision (Plat) ,/"L.QT �� <br /> Architect/Enqicecr ' — ������ <br /> City � Phone - Metes s Bounds (Unplatted) <br /> Contractor /��/� '� C�-�r•�i//C��.�/.�,�..Sec. 'IWp. Rge <br /> , Address 7:`;� ,C.i /.�i�-,�_ <br /> City, :�'�_:�-�� pho�c .�'.���: '7 Buildir.q Usc <br /> _^ • <br /> State License Na^�ber "L.Z3 �y //7i� Desc::b•_ Wor'r to Be Done <br /> _.----� � ' - <br /> Expiration Datn_ ��� - oi - 71f /� • /: �'. /!�-� c-/�%. . <br /> * SRETCH PLO': r:.P�:: E'ci�:i <br /> Use of IIuilding <br /> . ❑New ❑ Addition ❑ Repair/F.eaodel <br /> y, ,j�:.,,..,, /.��... , <br /> Valuation of Constzuction $ ��,.��=r_ <br /> � . � PLOT PLAti P.EQUIRE�lE::TS - <br /> ' . Indicate ]ot size, nane of streets, <br /> indicatc location and w?d!h c' <br /> allcys, locatc p:o�osed �^c �:1 <br /> existing buildinqs, sho:+ dis:a�ces <br /> � to property li:�es, show distanees <br /> betxeen buildings. <br /> Lot sizc a <br /> � . Lot area �a. Ft. <br /> Size oE Bldg. Sa. Ft. <br /> ' � Nunb=r of Stones <br /> . nASC^C^t ' -- r <br /> sig,�a ay� ",/_71.�=-r1=� <br /> For �._cc%G>l/� � <br /> ' '- P.:nc �none i;.-'a,� _ 7� <br /> . �- -,. <br /> }fc.�:v..r �;�c.`�f, <br /> ✓ <br /> DO t:OT li:i?S' 9�LON i!iZ5 LI:IE-FOR CITY USE O:iLY <br /> 7::c .r^! ._.. O( ' / ` 7� U�e �o:^.e — <br /> ?'_:r ,.:cc�: `:c-`or Fire �onc � <br /> �'aluation _ Occuoancy C:ou? <br /> Pemit Fee Type c` Constructian � <br /> Flan Checl: Fee ___ _ Occup��t Lo�d <br /> 1bta1 Fcc Dcc Snrin}:lcre Required <br /> Da[c Is�uc3 <br /> Glf:' C�" ;'r�E,^TT <br /> E�E..���fi.7 f :" r�li nif;f;'PC°'.'li <br /> i; __ __ . , . _ _ _ — <br />