Laserfiche WebLink
�, f <br />.L ' , <br />�; �..r:� <br />. ��yV <br />_ .._ _ _._ ... _._ . .- - --- -- - ..._ --�, <br />. -- -- ; (///'' <br />BUILDING PERMIT APFL7CATION ."�C <br />- Applicant To Complete This ?orm �y�� <br />If more than one building i; to be contructed, submit a separate permit applica- � <br />tion for each building. �1 separate permit wi11 be issuea for each building. �j I <br />/� /� <br />Owner ��4d/7> /y ,%�/:li/U�.l>VL�� Building Address <br />�' Lot �¢ �JJAe�� <br />Address f��J ��c� �i.Zb <br />City //U�'iL /� Phone353' �13� Subdivision (Plat) <br />Architect/Engineer ����� ��"�" <br />City Phone Metes s Bounds (Unplatted) <br />Contractor�/}i'� /i_ T R AN.DVO -� Sec. TWP•-- +�4e _ <br />Addres:. � �%r ,�}Q��� � ' -_ -L <br />City �'�Uk �LTfC Phona ;,y 5�11.3�j Building Use,..Si/�1��' �fi/�i /� E� <br />State License :�umber 7Z3-O I- i2S lO Describe Work to Be Done <br />Expiration Date G - �- �yC• ��- ���Tp���r� �'��" ��'� �nM� — <br />� . . <br />SRETCH PLOT PLAN BEL01P <br />Ose of Building .S/h�GLr F/��'%��� /� E�. � <br />�New ❑ Addition ❑ Repair/Remodel <br />Valuation of Construction $��0 0 � � <br />D3tC ".�cC:CCcI <br />a <br />THIS LI <br />i <br />Plan Chec�: 4umb�r � �z'�3 <br />valuation 2�'�' � <br />//S dc> <br />Pernit Fee <br />Plan Checl: Fee <br />s7 S� <br />Total Fee Due � 7 Z� ��Z <br />Datc Issu�3 <br />PIAT PLAN REQUIREb1ENTS <br />Indicate lot size, name of streets, <br />indicate location and width o£ <br />alleys, locate proposed and all <br />existing buildings „show distances <br />to property lines, sYiow distances <br />between biiildings. <br />Lot size ��� � x �?'S�/ <br />Lot area �9'jl�f,s'OL�_ Sq. Ft. <br />Size of Bldy.y�; �r do'�— Sq. Ft. <br />Numb^r of Stories �_ <br />Base������- <br />Signed By <br />For�AYi� A. L�RAu.Dv oL-D _ <br />C�wner Pnone S'�-//3s _ <br />U:.e Zone <br />FiLe ZO[1C <br />Occupancy Groun <br />Type ��f Construction <br />Occupant Load _ <br />Sprit�Y.lers Required __. <br />9 <br />