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. . _ . . _. _ . . _ .� <br /> � � � � DUILDIt7C PLRNIT APPLICATION � � � ' / / •� ����' s � <br /> � „ , s � . , • llpplicant To Coinpletc This ?orm ' ��f . <br /> .. ; . � ..��J•. •: <br /> , • • Sf norc than onc building is to bc contructed, submit a separatc permit applic�- � <br /> . � tion for cacii buile:in�. ,1 separate �ermit will be issu�d Eor each buildinq. <br /> 7 • /, <br /> . ; ' Owner DJ• %I c!%v���S l=/ � Bnildinq Address /D /r /�C�J ,Vj�/ L�1' <br /> ` . aaaz��g "' -, 'T�t� w'cc�- y�� � <br /> . iQL� �-�=e,�c �)n � l!L r.otcfi „r�� a�o�k <br /> ' . � City =���. phone�,S'�' "�/ S�lSnb3ivision (Plat) /��✓�'/?L � j-{� L' <br /> � = Lrchitect/Enqincer � � I ✓lS'/ON f'x-� F1-�>Nn (� � �'�/� • <br /> •• �_• "_'� City ��`� Phone .�� -O 1� Metes & IIoun3s (Unplatted) . <br /> . • s• . <br /> . .-� . Contractor� -l/� ��.,,� e G.f�� Sec._ 2t,v. Rge .. <br /> � i. . i .7_'.dress /�'L__E - > J 1.� . �t° ' • . <br /> ... ! -�tY _, -�c�' Phone ,3 �-o �,T� -Duilding Usc � <br /> .ti .,.,. . . J7J-a/ - / ) Jv . . . . ..:.,�.:.1. : � <br /> �'ki � Stzte License Ni..-^�cr �j-.y�y- Describc I4ork to IIe Dor.e,t?✓L/f" F�q-�)�1 �� <br /> • • E/fs r L,Nc �'C'�}u v/+Ti�FoM e <br /> ; .•• 'i Er,iration nat� //y/)� �y-�.v � 6'�. . <br /> � ' �~ • - St�TCIi PLO^ p � r . ' <br /> . � • L:..7 BEL0,4' <br /> - i , .. . � . <br /> : i . . Dse oL :;uildir.g _ <br /> � ' -- . .. . ; �Idect ❑ Aodi.tSon ❑ P.epair/5eso`el <br /> . : " , ' . .. :� <br /> � : . . � . ' C�.: , . <br /> � . • . • Valuation o: Con�tccction $�'�Z�� � . <br /> . , ' . . _ . <br /> .. . ^ :.PUJT PI.�1N R=QU2^E:;�\TS <br /> :.: . . . . . • . . , . . . <br /> . . � � . . ' ' � + ' ' Ir.dicatc lu:: si.�c, na.:.e nf s;.reets, <br /> � ' ' ' " •indicate locct_o� ar.c wid:h o_ <br /> . • j • - • ' - . . ,: • • alleys, locate p:oposed ar.d a�l <br /> _ ;. . . . . <br /> : '� - ..' - . " - .existing buildi:as, s�os� 8istzaces <br /> � ! . �= -to proocrcy lznes, eho:� dista::ces <br /> • %.� � ' -� • - _..bettreen builciings. <br /> : . _ . _ , <br /> i <br /> • , � . ' � . . ._ � 7.ot cize 7S� x � / 0 . • <br /> ... ! . • . Ir�t arca $�,3-J� Sq: Pt. <br /> �' •:• � � ' � . Sizc ot 91dg. Sa_ Ft_ <br /> j � ' • Number of Storics <br /> ' ': ' ? . - ' IIaser..ent <br /> .:. _ , � p T <br /> . ' � . . 1,�, Sigr=d IIy c� ��"L.i,.q/ <br /> 1. • . .T----'� . <br /> ' • . � For . <br /> • ' O�:nu: Yhoi�e -- <br /> ' DO NOT Sti.tT?'� $=�OI'J THI� LI:iFrPOR C?TY DSr^, O:iLY - . <br /> D�tc r�ccived _�f� `71` U�e Zone <br /> ' Plaa Chec� :7u�Scr ' ' Fire Zonc - <br /> �y d — <br /> \'aluation � ���0• Uccuuancy Grou� • • � � � <br /> fic.�iti Fce ' � v's` � <br /> � ' T3T� �� Construction <br /> . . . �-----. • <br /> Flaa Checl; Fcc • OccupanC I.oa�] <br /> . . ` U_'� _ �.. . <br /> . � 'JOt.l). :'a:C nOc �. •� .• � . • <br /> . _,_ �pr.inl:lcr: Rcqul.red <br /> . P::e Tcs^ucd . • • . -- <br /> � .. ^ ' ' , � � � ' .i <br /> � � <br />