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1912 PINEHURST AVE 2016-01-01 MF Import
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1912
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1912 PINEHURST AVE 2016-01-01 MF Import
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Last modified
4/13/2017 9:04:43 PM
Creation date
2/24/2017 3:53:56 PM
Metadata
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Template:
Address Document
Street Name
PINEHURST AVE
Street Number
1912
Imported From Microfiche
Yes
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. :, ' :..i <br />- - . . "f <br />:� <br />^� <br />�� ' <br />, ...;� <br />.�: <br />' ' i <br />' .l <br />�1 <br />� <br />,•� <br />• <br />�... • ' <br />: <br />. . . : ., .i _. <br />SOZLDING PERMIT APPLICATION ° ��� '��.`�.j <br />. ]lpplicant To Complete This :orm � � � <br />1"/ <br />i! more than one buildinq is to he contructed, submit a separate permit applica 7S <br />tion for each l�uildinq. ]1 separate permit will be issued for each uilding. <br />� ° ' � � P^ r � !,L( '.� - <br />��_ ` Suildinq Address <br />� �. i � /� � � � Hlxk � . . <br />3ddress �� 1 1� � Lot�' . <br />� �-Q, Phon � � � Snbdilrision (Plat) � �� '� ��'�' <br />City a <br />�rehitect/Enqineer —� • � <br />Cily --�' Phone Hetes i Bounds (Unplatted) : <br />Contrzctor�l �\� l� A p� Y� All Seo. T+P • R9e , . <br />lddress � - ( � m �� <br />�. � <br />Cit T� ls hs_�',K Phon�i � i Ih I evildinq vse _ =•�-�•.:�.,.. <br />Y � ;. � <br />State License Numter ,���"�� �`� �gcribe Work to Be Done _ <br />7 / _. %� �j�'�C `� �+.:'fiLY_(/ .. <br />Lzpiration nat� � - - J _ <br />SICETCH PLOT PI.Af1 BELOS4 � .. <br />� Dse of Buildinq <br />. � ❑New ❑ Addition �'�Pair/Remofiel <br />, . .. , , � ri) n0 .. <br />• paluation of Constzuction S�_ <br />• � . <br />• '• . . _ <br />S _ .. � ' <br />�, � • . _ ' : <br />" v, <br />I <br />. � <br />�. _ . <br />M <br />i <br />r.. ' <br />i <br />Date ��ceived <br />BIAT PLAN REQUZ?2&�SENTS . <br />Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, locate nroposed ar.d all <br />cxisting buildi:gs, sho:v distances <br />to property lines, show distances <br />between buildings. <br />' Lot size X -- <br />,Lot area Sq. Ft. <br />� Size of Bldg. Sq. Ft. <br />pumber of Stories — <br />Hasement <br />Siqned By \ <br />�- � -�, \'�'�C'-'�.1�..�;� <br />For -- <br />Owner Phone - � <br />IS <br />� <br />Uce Zonc <br />_ �_ <br />Plan C:ieck :iur.�Ser �� <br />Valuatio� � S 7 ' <br />, �-/ G4i <br />pesnit Fee 'S � <br />Plan Check Fee <br />� Total Fee Due �S - �U <br />Datc Issued � � � <br />Fire 2onc <br />Occunancy Group __ <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />. . <br />
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