Laserfiche WebLink
.. _ _. . _ _ . ;-.,. . . <br /> � -.«__�...... ... .......�.ic�c auia <br /> [U[III <br /> If more than onc b�ilding is to be contructed, submit a separate permit applica- � <br /> tion for each buildinq. A separate permit will be issued for each bui� 1n5. p <br /> Ovner %�i-. r,�, ��„ _ /�/► � ' �f ! /1l/adi�t.� <br /> . Buildinq Address aF��l� ,:,, , <br /> ]Iddress f c,•. < l�� <br /> Lot�3 Block <br /> City ==�__ phone .�. -_' �'�� <br /> _ � Subdivision (Plat) /,�� ' <br /> 1lrchitect/Engineer ' �� "��"� . , <br /> �—___ • <br /> � .City —_phone <br /> __�_ �Metes 6 Bounds (Unplatted) <br /> Contractor � <br /> • Sec. � • � <br /> �'P• Rge <br /> . }lddress - � �� <br /> City i:". . � Phone " <br /> , —'--- 1 Building Use - ,� <br /> � State License Number --��? �� a/ /�- "y?.; Describe Work to Be Done . <br /> ' Expiration Date j - '' ;'-�L �— � <br /> 1 . <br /> _ , SKETCH PLOT PL1L: HELOW' • . <br /> � . 3 ,Oo+ , _ <br /> � i Use of Suilding � .- <br /> � , � • . • <br /> QFlew ❑ Addition ❑ Repair/Renc3el <br /> � ' � - � Valuation of Construct.ion $ ." - ' <br /> . ' -- <br /> t-- v�! �'� �.�'� . <br /> • �:' ' . � F'� PIAT PLAN REQUIRE�SENTS <br /> • ���`ti "��-- •� Indicate lot size, name of streets, <br /> • � � G- indicate 2ocation and width of <br /> �'.� ' � alleys, locate oroposed and all <br /> , � � existing buildir.ys, sho�.r distances <br /> � + i T,: . � c ' � , to property lines, show distances <br /> betMeen buildings. <br /> �.. - - ali � a !� I Lo t s i z e � x <br /> . � v `7 , 7 ' Lot area S q. F t. <br /> ` � � .1 q � , � j � Size oF Bldg. Sq. Ft. � <br /> > Number of Stones� . <br /> - -� � ,. C/ Basement _� � _ <br /> � . ��%.'. Siancd 5S . „ .,,�.�-�. <br /> ✓ ` <br /> ' �� ; ;_� 1t� . . , <br /> For <br /> ` . Owner Phone <br /> � �0 ::�� • '- - --iOi�J ^.!;IS Li:ln-FOP, C*_fY US'c O:iLY <br /> Dzte e.aceived 4117I'75' • . <br /> �_e .".one ��� <br /> y, F_�.. C:cG: `:c-�c ��-� . <br /> �� � �1Co Firc 3 . � <br /> Zo:e <br /> . �•d:sz.��, Zk, ISZ� — <br /> . Occu?aac_� Group j � <br /> Perciit Fee ��� <br /> _ Type of Construction v _ � <br /> Flan Checl: Fce �.pq, CZl • � <br /> v Occupant Load <br /> Total Fee Due 7i � p , S"a Sprinklers Required I <br /> Datc Issued 3� � • � <br /> ��--" APPROV DIT ORFBUILD NG PERMIT <br /> Date 4/ � �i �- BY ��_ � <br /> � <br />