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. � ��; . - ..' ' . . . . � - • . ; : �. /9,�3 � �..1 I <br />• DOILDINC PERHIT AFPLICATION � ' ' • '. . ,•���� j <br />„ ,� � � . ' . � 1lpplicant To Complete This :orm � ' y <br />••� 7! aorc than onc building is to bc contructed, submit a sc arate �� <br />•� tion for each buil�lin� �1 se arate P Pcrmit applica- <br />� p permit will bc issucd for each buildiiiq. <br />� • • OYC�! l� 1� � � 1 �, �I � �!'� -e ' p � . <br />� �� Bnilding Address � �/ �0 .�� <br />� . — Qi�?•` . � <br />, . lddress � '�pi�`• �! Lot=�-�_ � <br />� Block � � �`- J�� <br />' ,• Ciiy �, Phone � Subdivision (Plat) ��,�.� j� ��,�-� <br />' • Eschitect/Engineer ' <br />. :, ' :.,,I ' ' • . <br />. - ;-i �tY Phone Hetes & Boun3s (Unplatted) . <br />. ���: Coatractor Sq��. �, ,� �,f e rv+ 7sr,� Sec. 7Yap. R e .. <br />.. �. . i 13dzess .�u %�-c � � � • g ' , <br />. - Ci/1Hy � <br />. , , <br />. �; -atY Phone �3v-,3/ A� 'itufldiag IIse • . � <br />: ;:.4� _� . .., <br />' ��i � State, bicense NL.^�ber � 23 - 0/-%�� 9Q� Describe t4ork to IIe .Done �P-//p,+ / �� l/- <br />�'_ 7� �S�d . <br />; . ..:I Lzpiration Dat� 3 // � �� . _ • ' . . I <br />;i : .� . � . . . <br />= "SP.ETCH PLOT PI,�1�1 IIELOT,T' • i <br />- • r.� . . .. • . ' , . . . • . . � . • <br />IIse of Buildi.ng I <br />�. : . .. . , � <br />'. ' • • ; nheN ❑ Addi.tion ❑ P.epair/Seno�cl <br />� � •• � ' .. . . . . ' � • ` � '/ � . <br />! - • • . • • Valuation of Con�t=uction $ �7�• • " <br />� . <br />+ .. ' . - - . , �PIAT PLI�1V ItEQUI^!i..]::ITS . <br />� � . . . • <br />�• i ' . . . . . <br />� . -_ -Sndicate lot• size, na.�:e of streets, <br />, ., f .. : . ' ' �indicate location ar.c widrh of <br />'"' ' • alleys, •locat� p:oposed a:.d all <br />� ,1 . ' . ' ' ' ' .cacistin9 buildi :as, sho:a dis:aaces ' � <br />' i •'; _ " � y ' . � ..~�% ,' • . -.to property lines, show distar.ces <br />' '• ; . ,'•-� • . . - . _,bel��een buildings. I <br />.., , . <br />.•f .:.' . <br />�j <br />. ' := . j. <br />:.. _ . <br />i � <br />Dste Seceived <br />DO V0:' Si:2IT� ?]^i.nM muT: <br />� <br />Flaa CSeck :7u.:Scr ' <br />Valuation � /y�j �" ' <br />Fc.^iiL-' Fcc �/S�� ���� <br />Fl�a CUccl; L'ce • <br />.. is. e` <br />. � 'iUtal. rcc nuc <br />• Pate Tc:sucd _--���-� � �-- <br />. .. Y..w._�_ <br />7.ot size X • <br />Lot area Sq: Ft. <br />Size oP IIlag. Sa. Ft. <br />Number of Storics <br />Haserent <br />Signed IIy � � � f,� . <br />. i.� - • <br />For . <br />Ocancr Phoue - <br />USc O.ii.Y ` <br />Uce•Zone <br />Fire Zonc <br />Occunancy Group � <br />Typc nf Construci:ion <br />OccuP�nt I,oid • <br />�priN:lcr : P.eqcl.rcd <br />. . . : <br />