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<br />„ �� • .., i ', • � �: . . • • ' DOILDINC PEAlfIT APPLICATION .-' , .._. ✓r�� •� ��
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<br />� llpplicant To Complete Thi:, :orm � j!`� y
<br />. . � . • • , c .
<br />�•', x! more than one buildin is to be contrueted, submit a e arate f��� �
<br />� •: tL^n for each buildin 4 •'• P Permit ap ica- -5
<br />,.• 3. �1 separate permit will bc issued fot each building.
<br />. ; ' Amer ���jj� � •��� � �, _ Euilding Addresa �9�v ,{��/%f''. '
<br />, . ��
<br />•; 3Edsess o� 9�-p •�i�r c- if%� Lot Block '
<br />• � . . �t7f��.� /�� - — Phone��-i�.f'.3 5ubdi4ision (Plat) :
<br />, � = Arehitect/Enqineer __,�$-� %,�' ' . . • , . .
<br />- r i ,'� =�j �tY �� ..Q�,•/.l Phone Hetes i Hounds (Unplatted) '
<br />:., . _ , •
<br />:,' Contractor �`Q�_ ' Sec. �p. R e ' ^
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<br />z. r. . r• liddress �i,� . ' . . . .
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<br />- ' 4�: atY ��_ Pbone���? • �7�� Hvilding Use y �' • ;� �
<br />'' ��} State.bicense NL.^aber _ Describe Wor to Be Done �.C�,r/ y �*.'
<br />; . �t Ezpiration Dat� • ' .S'�`��Rs . • .
<br />'��' � , • SRETCH PLOT PI,d?7 BELOW' • -
<br />• +, � .' # • .. . , . , .. . � Use of Buil3irig • . ' .
<br />�'' + ' , � • � � � . , � • Dxew ❑ Addition epair/Remo�el
<br />. . ,.:' . � � • ' +
<br />!' � � • . � � = • Valuation of Construction $ l's � "
<br />'. • • _. � .
<br />•••• . e � _ . , � . . " -. ' , , PLOT PLAN REQUI_TtE}ffi:7TS
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<br />f : . . , .. ... � � . . :i .
<br />.•Y,' ' : . ' � ' ' ' indicate lot size, nane of streets,
<br />' ' �. " •iadicate locatiun anfl width of
<br />� '+� � ''' ^ • alleys, locate ar000sed ar.d all ` '
<br />' � i�� _ • • •:�t..._. � y : • � ��.. � existing buildinqs, sho:a distances
<br />•� � to property lines, show distences
<br />• . +. � ' � n. . � . ' _ ' . . . between buildings. .
<br />. . . . . . , ,,
<br />., . �� ' ; ' , , • . . ' , : Lot size x ' �
<br />� :.i- s . . . . � • . � � . -
<br />� ' �, � • � Z.t)t 8ic3
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<br />� �r..:�� . �. � . : .
<br />'` f. • � .
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<br />. Sq. Ft.
<br />, • Sizc of Bl g. Sa. Ft.
<br />' Number of SLcries
<br />� Hasement •
<br />. Signed By� '
<br />For��� -
<br />s� Phone
<br />� DO AIOT SC:2T_TS 82LOI9 THZS LI�IE-F02 CITY USE Oi7L'! `
<br />Date Seceived � ' D�c:• 2one •
<br />Plan C:�ec:; :lur.Ser ' ' Fire 2one •
<br />Valuation
<br />femit Fcc
<br />Plan Check Fce
<br />,� ibtal Fee pue
<br />Datc Issucd ' '
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<br />Occuoancy Grou� �_
<br />Type of Construction
<br />Occupant Load •
<br />Spzinklers Required
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