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• ��� � . — .. • • DUILDI[3G PEttI�iTT nPPLICATION . • ., • � 7.� .. , ' � .� `^.
<br /> =' � ' • � � • .T.ppll.c�nC To Comp]eL•c Thi� Pozm ���� : •. j .
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<br /> • • ' 24 more than one building i� to be cont•rur.ted, submit a ceparate peimit applica-
<br /> ,' . ; tSon for mch buildin�. A separate permit wzll bc issued f.or eacl� buil.diuq. ,
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<br /> , � ' O�mer , � `,a 9� . ' (� Duildinq Address ���/7 ��(�2 C �r- .. .
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<br /> . ' City �rL�y'JyL'�-^ Phonq� � ` .-�7L� '� �uBdiv£sion (Plat) 1 ��f�`C){l1, e L1,, C1�c���_,
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<br /> _ • _ °_i City \ Phone \ :I•ietes L Bounds (Unplatt•ed) _ :
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<br /> .'' -.City( 1)P)a 0_'�� Phon������? � 'Suilding Ose :,:�1.�
<br /> � � �"' � State License t7i:r.�ber���'j--O�-/Iy2:s"� Describe Ftork to IIe �ane � ����� �
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<br /> : . .I En',iration Dat� �- �- �/J ' 1Q'��l �L�'_'V �� .
<br /> . �� ' '� = SPSTCII PLOT PL:di ?lELOf9� • .
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<br /> . •, � �� ` Dse of 13uilding
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<br /> �. ' ; ' ." _ . L]hew ❑ Addition �iRepair/Remo�cl
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<br /> � ' `'�. . � • ". . . ' , - Faluation of ConstrucCion $ C ' �
<br /> � .. • ' . . - ':Z�l'AT PLI�N ILQUI�W;:TS . -
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<br /> • t . . . � . • .. • ' . Indicatc lot sizc, nane of. r.treets,
<br /> , .• i . � - • . . . rindicatc locat•ion zrd wi.cth oP
<br /> . ,..3 •- . ' . • allcys, 'locatc pro�oseci a:.d a�1 .
<br /> . . ;-'i ' ' ' ' • � .er.isting 5uild9.::gs, she:a di;;taaces '
<br /> ; ?� ' ..-. - ._ •e : .-°. . . -.ta propert}� lines, snow distances
<br /> ' � ': - a , - betwecn buildings. _
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<br /> ' - • • ]Got size x '
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<br /> . _ t . . , . . Lot area Sq. FL•.
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<br /> � t � ' • . ' � ' � IlllL'1}JCI OL St01"i�"-i
<br /> . ' '.: 3. . IIase�ent _._
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<br /> • � • Uwner Phone �
<br /> ' ' PO V0: Si:i?T� 9'LO:I �TIIIS LI;7ii-FOR Ci9'X Dti;i 0;7L'1 � � _
<br /> Datc Seceived � � Uce� 7.on� • � ...
<br /> ' Pl�n C�ICCi: :�L1C�JC1" P11"C Zone � !
<br /> Valvation ����1('� �� Occuncmcy Grou�
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<br /> P�miti I•'ee � ' T�)ie rf Constructic�n �� ,
<br /> Plan Cl�ecl: L ce � � Y Occu�ianl I,oad •
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