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Applicant To Completc This ^orm <br />If more than one buildinq is to be contructed, submit a separate permit applica- <br />tion for euch building. �1 separat� permit will be issued for �ach building. <br />Owner �l/ue✓ IQ � s� �i , i .„I'.;l'if;�(S� • <br />/� .Ja,.. uo� Buildinq Address , i � �� <br />Address (%��. ��.7hc� ¢-Z $ Loti ' - Block <br />City e74�,�, � _�� phone .355—// 35 Subdivision (Plat) � - . <br />Azchitect/Engineer . � <br />City Phone Metes 6 Bounds (Unplatted) <br />Lo� 2G, i:_-Plat of i,ot X Aarlingzan , accordin� to tlia plat th_reoF <br />r�ccrded ia \olur:e � ot Plats, j11Cc 50, rec�rds c` tL.; Auditat of <br />tii� Cau�it}• �f. Snoii�nis}i, Statc of l�,asl�in� toii, , <br />i::CEP7' r.hat portion thereof describ�d as follel•:s: <br />� <br />CcnnancinF at tite Scutlieast c:.rnar of said Lot ZG; tli�nc� Vorth�rly <br />c.i ths Iiastarly line tii�r�of 97, G7 f�et to wn nnrle paint on th� <br />Lasz line o£ said lot; th�nc� continu� ::orih�rly on said I:ast lina <br />1� faat to ths point of beginninF; Lli�nce 1Vesterly ; arallel i:�it4 <br />th� S�u.h�rly lins �f said lot to inters:ct the E:.st.rl}� line o£ th�t <br />c�rtsin tract of l:.nd convey�d to ti�� City of tver�tt� a municipal <br />c�rl�oration� by dezd racordel uader Auditor's I'ila ?J�, 22�3924; tli�nce <br />VorL�i�rl� on said I:ast�rly lina to its int�rssction �•rith ths nost <br />liaster7.y lin� �f s.1id I.ot 2G; thanca Soutiiaaszarly o�i tiie rasterl}- line <br />of said lot t� tha point of he�inning. <br />ALSO ]i\CLPT t;iar. portian t:�_r�of r;hich lias Pl�st of the liast line of <br />tiist cer:a;n Tracc conveyad to r.h,: City o!' l:v�ratt Uy dead r�corded under <br />Auctitor's Fil� `;o. 2293924, <br />.., ' ; alleys, locate nronosea aaa a11 <br />• ��- -�'-� ``�. � existing buildings show distance^ <br />� , <br />j <br />';\ <br />. ;-- ----- �—' c. �. � <br />Datc .ccri^c3 <br />, . ., <br />to property iines, show distanczs <br />between buildings. <br />" Lot size /�x �J'7 � 3 0 <br />Lot area /a�� Sq. Ft. <br />/; Size of Blcg. ,�Sw 3L-/4)k S4• Ft. <br />Numbez of Stories / % Y <br />Dase^cr.` <br />Sign 9y M z� /+ <br />ror Jd�--'a I� � W� <br />O�aner Phone 7 e S—I 15 S <br />DO NOT {�RITC �ELOI� TY.IS LINE-FOR CITY USE ^:�LY <br />P?�n C`�ecl: \cr..rcr �� ����'�� <br />Valua'_io� <br />Pernit Fee <br />Plan Chec}: Fec <br />TOtdl FnE+ �j�n <br />Datc Is^-�::i <br />U_e �cr,e <br />Fi[C' "OCC <br />Ocruoancy Grou? __ <br />Type of Construc:ion <br />Occupant Load <br />Sprinklers Required <br />� <br />. <br />