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...... . � <br />• - . . . 10ILDING PERMIT APPLICA;:ION ; ;' •, � ��`�� <br />• ��ppliCant To Complete Thia ?orm J � C.�;� <br />Zf more than one bssildinq i� to be contructed, submit a separate permit applica-`��a ]s, <br />tioa for each buildinq. 71 separate permit will be issued for �each 6uilding. <br />O�mer I]A l� I:� 1 i I� 1'rl vl ri i� � � c � Duildinq Address y-�� � L�'C�O.LF�C9l� <br />' � 3Co Blocx _ V. <br />yldress ��" .:� S� nc �( 1.� Lot <br />�L4� . <br />�ty �.1 �r,�, /-�-� J fPhone S ��- I I�`� 3ubdirision ( lat) <br />>> A�cCcc ����a12�I 11��'�- ��� p�r'�� �C�j'�1�, �� <br />frchitect/Enqineer Lf� Jriu�S�� <br />City Phone Metes G Bounds (Unplatted) : <br />;� � . <br />�oatractor �J. i� � ��r21 �1c� �"r� ���. �c• '�P• R4� <br />`� . • . <br />�ilSS 1 'iJ' •l��L'd �1_2 i7 . <br />_� <br />GC�')1� S -11'` Hnildinq Use "�-?:�:. <br />Citytily � i��<-��� Phone � S >-:, ... • <br />State, License Number ,�y� -0 �- i'�- � l C De'scribe Work to Be Done �� ���' %Z ��•� I <br />Ezpiration natt I 0- I 3—�7 G 'CI 1u�> >t �Z�lrx� —� c ec� � v� � _` <br />� SICETCFi PLOT PLAN BELOW. � , �)� `� ��' �1 ��KI l.Y� S� 1� � l� J��Q I IQ �I � <br />� D�e of Building � <br />/� • �� L„� C1Hew ❑ Addition ❑ Repair/Remouel <br />��Y.Ltt�, v�n-- . <br />� _ <br />;/ �:• ' oaination of Construction 5 <br />�• ����::G����:.�Ct�' <br />� � � pyOT pLAN REQ:TIREbSENTS <br />... . . _ , � � . <br />Date �eceivr_d <br />Plaa Cbec:: :lur.,ber <br />pireit Fee <br />� 5 , '9-= <br />c--� <br />Ylan Check Fee <br />T: �1 Fee Due � 5 ` � <br />� / `/ r <br />Date Issued / 1�1-1 Iy�_ <br />_--� <br />Indicate lot size, nane ox sLreezs, <br />ind3cate location and width of <br />alleys, locate proposed and all <br />existinq buildinqs, sho�o distances <br />to property lines, show distances <br />betaeen buildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of Bldq. �_ Sq. Ft. <br />Number o� stories <br />Basemeut <br />!or <br />Owner Phone <br />Occunancy Grou� <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />"�] �%"� �1. r <br />C�t.7("/�I-{t:CL' ,{-r���Q��✓YU.i.- <br />Y { � �/��, <br />�Z� . <br />. � . <br />