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--- -- - - . _ _ _. . . . _. . ._ _- -- -_ - - - - --- ��.���; _ <br /> BUILDING PERMIT APPLICATZON "i <br /> Applicant To Complete This ^orm ��/7S <br /> If more than one building is to be contructed, submit a separate permit applica- <br /> tion for each building. A separate permit will be issued for each building. <br /> Owner 1�����0 �-�-- L�ti'—� Buildinq F.ddress �� � � �� <br /> /�ne{ �� A1 Lot '� °'r Block ' <br /> Address a <br /> City � Phone ^ ��� Subdivision (Plat) �� 'U � . <br /> Hrchytec\neer <br /> City Phone Metes s Bounds (Unpla:ted) <br /> (� � �1��1 Sec. 'hrP• Rge <br /> Contractor�`{�O�C'�) �h ' <br /> Address � <br /> City��,Q� phOII" ��'���7���� Buildinq Usf <br /> State License Number ���t��� ����v Describe Work to Be Done <br /> J < 1-�n hc� � � <br /> Expiration Date C-�"��S � <br /> SRETCH PLOT PLIfN BELOW � , <br /> Ose of Building <br /> �New ❑ Addition ❑ Aepair/Remode� <br /> ' C <br /> ' ' Valuation of Construction $� <br /> . . . PIAT PLAN REQUIRE[dENTS � � <br /> . Indicate lot size, name of streets, <br /> indicate location and width of <br /> ' alleys, locate pr000sed and all <br /> � existing buildings, .show 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. i <br /> �:. ' Numbcr of Stories <br /> . ' <br /> Basenent '� <br /> ._. _ Sigq By I <br /> � Yor��— ` �, ���-i`-��`_�-� �� � <br /> � Owner Phone -{�-,� . � � <br /> DO NOT �4TiITG BELOS4 THIS LINE-FOR CITY USE OiILY I <br /> • l <br /> U:.e Zone <br /> Datc .^.ece;vec ` <br /> p!an Check :7unbc= <br /> Fire Zone <br /> 'eC' Occuoancy Group <br /> Valuation ' ��`� '- . � <br /> Pemit Fee Type of Construction � <br /> Plan Check Fee <br /> Occupant Load . I <br /> Total Fee Due Sprinklers Required � <br /> pate zssucd CITY OF C"ER� i'T ; <br /> APPROVED FO'� �:',''!.!>;;;=, I'r^�11T <br /> I <br /> e,�: -- ._ _ — � <br />