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BDILDINC PERMIT APPLIGTION <br />Applieant To Complete This :orm • <br />If more than one building is to be contructed, submit a separate permit a Zica- <br />time for each building. A separate PP <br />'•1I 4• P permit will be issued for each bui }nq. <br />Omer Leal P L �1Q t— ((s Building Address Ltd . G /+ !1) <br />�. Address `� (( L SjK V F Q Lot Block <br />,• •:.j city Ieu 1A' 1 Phone 7 )y378`t Subdivision (Plat) --- <br />Azabitect/Engineer <br />:. ' y •`� city _Phone !fetes i Bounds (Unplatted) <br />Contractor WASS'du•L'nt sea. TWP•' awe <br />Address 0MIIO <br />f Citt biECE 1 Phone +.�j..�� Building Use <br />state License N <br />i amber Describe Work to Be Dona Z' <br />;I. Aspii raton Data <br />' • f►•+�� � � Ci`7 diiCi <br />SWWR PLOT PLAN BELOW <br />-• •f .� IIsa of Building i <br />f 4 .. <br />NOW ❑Addition Repair/Remodel <br />t •' Valuation of Construction <br />'• :,; . • PLOT PLAN REQUIRFI-MUTS <br />�.' Indicate lot size, name of streets, <br />S.t. r ''•j, 'Indicate location and width of <br />alleys, locate proposed and all <br />' existing buildings, show distances <br />= " to property lines, show distances <br />r i a _ between buildings. <br />Lot size x <br />••' Lot area <br />Sq. Ft. <br />e.. Size of Bldg. Sq. Ft. <br />t Number of Stories <br />Basement <br />1 Signed By� <br />For <br />Own r P one <br />;1 <br />DO NOT A'ZITE BELOW THIS LINE -FOR CITY USE ONLY <br />Date Received Ute Zone <br />Plan -Check Number <br />Valuation <br />Permit Fee <br />Plan Check Fee <br />Total Fee Due <br />i •, <br />Date Issued <br />Fire Zone <br />Occupancy Group <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />