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<br /> � ' i � " ' ' Af1ILDITSC PERMIT APPl'.ICATIOt4 �, � � ' ��y��'�, ,;;j
<br /> - ' � , , Rpplicant To Complcl'e This 1'ocm , / '/ '�. ,1' � .�
<br /> •• • � 73 uorc than onc 6uildinq is to be conLrur.Ced, submit x �eparate pcimit a�lic���'S
<br /> , . . S:Lon for cach building. A se�aratc per..iit will bu issued for cach buil3iug.
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<br /> . � ' 6mer i�,;. .c '��', "� Y,� . fzr�'�-�"t Duilding Address ,�drir�
<br /> ,' . . Eddre�s �'�-r� /l�. �ji;'i7i�.� ri bot ,� �` �/ nlock --� l �' _ .
<br /> ' �. � City f-(�f.'�=7`I Phone ,��5�-c"7:75- Subdiviszon CPlat) � !' �= �u'� .
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<br /> • I+schitect/Engineer j}n�,s.vT �/�' • .
<br /> _ • '_ `:� City Fhone Fipt•es L L'ounds (Unplatted) ' •
<br /> , • . cr•,f.�.r�l<.t . . . . - . ..
<br /> Ctratt2tctOr �,1 . /�. .
<br /> . . :�'. i>az c f �_t�..,�_� v Sec. 1tu��. Rge
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<br /> -• � ;. . �� ssddres.. ^� /Yi - �2,v.-;l' ' • '
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<br /> ' ,City ��,.,,�,r��l� Phone _5 G S''«2/ "Hui.lding Use �,�„�c.- � . .::.,; `;s�
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<br /> � �';� � Etate License Hcnber r% Describe S7ork to Se .Done - t�(�r.£.. �2 ' ' ''��
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<br /> • :• .i Expiration Dat� - � �7dcl: W �tl �:�� � � . .
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<br /> . . SPS1'C31 PLO? PLi,?�I .£LOS4' �
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<br /> ' ' :.1 • • . � Use oE Buildir.q ��r->.:t, :�t.-
<br /> _►� . � � .� �� >� v� : '�nKew � �Additi.on QRepair/Remo:3c1 .
<br /> ` ;.ri 1ti.JF • ` . ' ` %q .
<br /> '��• `�,~ ' � ' . . - Faluation oE Const=uction $/Lc'c' - IS� �' ��
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<br /> - ' . . . . ::PTAT PI1iti REQUIRL'�:..JTS , .
<br /> .:• ,� C. . , .. . . . ' ' . . :
<br /> ' 4 � • .. �• ' � • . • ' Indicate !ot sizc, nane of streets, �
<br /> :. '. '! � - ; • • + ' •indicate location and width of
<br /> . . � • , � � : ' alleys, '�ocatc r.ro�osed a;.d 311 .
<br /> . • ;.'j • . p . : . . . .er,icting buildiags she:i dis;:ar.ces '
<br /> � � ; ?l ' �:� � ' � ' . `a ' • �=. �-.L-u progerty lines, •show distance�
<br /> . .� ` : , � �:�- • •: ,' .., -
<br /> , ,4 . � , hetwcen buildings.
<br /> � ' 4, '
<br /> ' .• � • . I.oL- �ize x
<br /> ' T ' i � y �� . �r� . .
<br /> .:- ° . •� � ' . Lot area Sq. Ft.
<br /> . �,_ - . �� Si�e o£ IIldg. . Sc . Ft_
<br /> ' � ; � •� Itu�abcr of Stori�:s L.
<br /> . � :. . i �� �/4' , . � � .lsasement i> � ----.--
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<br /> �-., ; � ' Signcd IIy
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<br /> I ror �0--4_,� . i�, �= �!: � L �-� T� �
<br /> Ocancr Ptionc 2`.�-�_''�z7.s-
<br /> ' ' DO :10: IS:i?iB 9F.T.0:] TIII� LI:lii-POR C;7'Y USi: OiIL'! '
<br /> Detc Seceived ;� - ��- 1 r � U::c .'.one . '
<br /> ' Plan Cycc1; :7ur.,;cr �� � ;-�l ' Firc 7.one ' �
<br /> l'aluaLion � Ocr.u?i�ncy Groir� � '
<br /> I'cmiti Pce S. C� O • 7ylic of Construct.ion
<br /> Plan Checl: L'cc f• 5 �� _ Occut7:�nt T,oad _
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<br /> . . , Setal Pce Auc � � . , ��- . — SPrint:lcr� Ruqvircd _ ' `_ :
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