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r <br />CITS' 01' 1:\'I:P.CTT <br />nr•.i�nt��l'i•11;[�'P OP CO?1:�lUTd7'PY DtiVIiLOP6fENT <br />13UIT,llItdC� J?!:Iu17:T i�l'L'L]"CI,TIOG <br />ll1�TE l�. 7 _ <br />ADDRL•'SS OP CODISTRU TION WORK O�i <br />4 <br />P�Rb1IT NO. ��3��5/ <br />7� <br />V�1LUnTION . 0 � <br />PE1::�1IT FIiL' oZ$ � <br />. • <br />LGGAL DESCRIPTION: LOT C%�%��S IILOCK �{�3 <br />UNPLATTED DLSCRIPTION <br />BUILDING DL•'SCRIPTIUN: <br />$'OP UNITS <br />NEiti' ADDIlION <br />OCCUPh:�CY OR USE <br />IS THIS A CHANGE OF IIUILDING OCCUPANCY: <br />CONTRACTORnC' l R ��.o <br />h1AILING ` <br />ADDRESS l, <br />� <br />� ,,� -� � <br />PHONE NUMBER <br />SIGNATURE <br />I � a :. � / <br />� / i/.� <br />R��10DEL p <br />OR REPAIR ���h om[Qn�.C.cyy� <br />STORIfiS <br />YES NO <br />OWNER V� R h QQ ,G �I T�LQ ��.� M+'+x <br />ADDRESS aa ► a o �` ` <br />��e�' i <br />PHONE NUASBER a� - (���-� <br />NOTE: TIIE APPLICA�T SIIALL I'ILL Iid ALL ABOVE SLAI2FS COi•SPL .'IBL] INCLUDING <br />TIiE PLOT YL::V SriETCei OV F.E%1P� OF THIu SIir�T. T11E APPLICAP?'P IS R�SPONSIBLE <br />FOR ALL It:i'ORiL�TION S':iiICII IS FORNISHF.D ON TNE APPLICATION. ANY CIiANGES <br />IN THE INFORi•SeliIO'.v, PLOT PLAN OR BUILDING PLANS SHALL BE SUI3ASITTED TO TI:P. <br />INSPECTIO\ DIVISIO:I FOR IPPROVAL B.`li'O: E PROCELDING I9ITli T:iE CONSTRUCTION <br />WORK. , <br />IiPPRO�AL: <br />1. PLANNING <br />2. ENGINEEF.ING <br />TRAFFIC DIVIfiION _ <br />�•�ATER SERVICE <br />SFWER SERVICE <br />PUIILIC SERVIC� SEC'1'ION <br />4. <br />INSPECTION D�PT.RT�IENT <br />FI12E bie1P.SHAL <br />DATE <br />NOTP'.: A7�L COi:STRUC'i'I0�7 P;OIi?: PiIIALL C0:•iPI.]' l9S`191 71PI'LICABLF. CODLS � 1�:OTP:S <br />ON DRi�I•7I;vGS� A?:D Ii:Si'iiC'PIO::S <br />