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' APPlica�t 'ro tr.npicec 'inis :uc��� /�Q `"C //o2�r/jy k <br /> If more than one building is to bc contructrd, subnit s separate pezmit apFlica- i <br /> tion for eac� building. �\ srparate permit will be issued For each buil�3ing. <br /> � � � Buildinq Address L��� `-��"��� �S <br /> Ormer T . <br /> Ad����� bJG L� ti G' Lot � Jr`�` L B10Ck �� � _ <br /> ��� Subdivision (Plac) �e�''i `�'°` �� f� <br /> City _ Phone � —�=-- <br /> Architect/Engineer L��` '� `p�~ — ` , <br /> Phone Metes 6 Bounds (Unplattedl � <br /> eity ! ' <br /> Contractor /� � �� Y �' `'�� ' Sec. 'it�+p. Fge ` <br /> _ Addresc ��O..i -/02 ��' _ �"—' . I <br /> �/ � �i <br /> City ,i �f_' Phcnc "�p -.i2��' Building Use �+�`���- �''-'��r �' <br /> State License Number Zx .3 �� '���� De�scribe Wor;c to Be Done ��!!� <br /> Expiration Date .L=--��-'--�---�4�'`�• � � <br /> "� 6 <br /> SRETCH PLOT PLA:7 BEiO:� �' , <br /> Use of Buildinq _ � <br /> ❑New ❑ Addition (�Repair/Rcr,.odel <br /> . - Valuation of Constsuction S � ��' <br /> � , . PLOT PLAN REQUIREb1EtiTS � ' <br /> • Indicate lot size, name of stree:s, <br /> ir.dicate location and wiZth o� 't <br /> alleys, locate oro�:osed �nd all � <br /> / existing buildings, show 3istances � <br /> / / � 5.�. ��3 to property lines, shaw distances � <br /> L�L)� d7�v � - �/ � / � . bet�veen buildings. <br /> Lot size X I <br /> . /�s.r4C �NrrK� �JC ��"p�� Lot area Sq. Ft. <br /> I��LI-K��•I �o �ode . Size of Aldg. _ Sq. Ft. <br /> . . ' eunber of Stories <br /> . � °�`�-C�� _ <br /> \,. / i <br /> Siancd 9y �� /f1.t%•t F�` �-�`- — <br /> For �/ . <br /> • Owncr Phone ___ <br /> DO \O: 4;RIT� ?=�T-'�`�7 _HLS LI:1E-POR CIT'[ USE 071LY �— <br /> �n._ -.n:.., (.�_v��R- 7 �{ /f'( U.e �om� - — <br /> 21nn �:�,=..�•,r._`.,' -----_-- Fire �onc <br /> , a/ Occuoancy Grou� <br /> Valuation ���_� <br /> Pemit Fec Typc ef Construction ' <br /> �._--- <br /> Plan Cher.l: Fee Occunaat Lo�d <br /> Total Fee Dcc _,.___ , Sprinklers Required _ — ' <br /> uatc Issucd .!_� CITY OF EVFR��.T � <br /> APPROVED FO^ C'_',! _.;�<: , " i <br /> Dote� BY --- <br />