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, . .-- .. a/� <br />EUILDIIdG PLRMIT APPLICATION <br />Applicant To Complete This Form <br />/�� �/ <br />if more than one building is to be constructed, su6mit a ecparate permit ap- <br />plical-ion .`or eac'i b�illing. A separate permit will be issued `.or� /each build- <br />ing. . ��%ZJ'tl� � � <br />/�✓� (� �\_ <br />Owner V��\' �. _ F,���-� _ IIuilding 1lddress��� <br />�l� <br />Address 1CaC�s -� Lot �T,� Dlk. � Sec. • - <br />'1 t��S�e No, 93 i-r, <br />City .[VC'1➢�i Phone.3s5-ogTl TwP• Rge• <br />7t�Chiterf�. !;^N Tw ����- <br />� � <br />City (;V-C,tF,�c Yhone <br />Cont�•actor �lo�c..� �6ltiC.� P SOtiic� <br />Address� ��LLO°� - ll � <br />City CVE�'P�' Phone_ SS-cY,2+� <br />State License NumUer2�3-o1-��o�b3 <br />�:r:piration Date �-19-9!j _ <br />UO NOT l�1iITP: 33liLOC: <br />u,t���;��«��a__� � �' � <br />Plan '�hec}: I.�m�bcr � ' �=> �- Q_37 <br />Valu-'�ion ?C'>j��]'Z�� � <br />Pertnit Pec: � -�_��-� <br />P].an Chcck Pee_�� L`'� <br />Total 1'cc Uuc <br />PcnniC Nti�mbcr. �L�J �7 �-� <br />oat,: i5_:���a /-- %--74: <br />Subdivi�ion (Plat) f.��-�G i�Pi����l�`� � � <br />Metes s IIounds (Unplat� <br />IIuilding Use ��'Ew— �N�uU���t-P <br />r <br />Describe Work to IIe Done �6J.}�ti� 07:� '. _ <br />�A1 ��� � — <br />Use of Building uav�..¢_ <br />x New Addition Itehair/I'.emodel <br />'JaluaLion of Coi�ctrucCion $ c�U�_� <br />PLOT PLAN <br />Indicatc lot size, name of streets, <br />indicatc l.ocation and width of <br />alleys, locate proposed nnd a17. <br />er.isting Uuildings, show distances <br />to property lines, shoe; disl�nces <br />Uctween buildings. <br />Lot �izc x. <br />LOt :treA S.P. <br />size of Bldg. u.x. _ _s.r. <br />Numbur of Stories <br />IIasement , <br />U�e Zone —� _ <br />1' `` <br />Signed IIy � �c �Q\rolc� <br />� <br />roi_ ��e.�_vb�c� �� �C1_ <br />Ow�ier <br />S '.INE-I'OR —CTT�Y UEL; U�]LY <br />Pire Zone � 3 _, <br />Type oL Constxucticn _ <br />Occupancy G•:oup___ _ <br />Occupant ].o<r] _ <br />Sprin::lers Rcytiii^_d_ <br />AP'r'ROV[D FCR EiUILDIfJG P[R�v11T <br />Uatc___— -�Y --- <br />