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CI1Y 017 lEV1ElU{TT <br />DI"PARTMIi T OF CO:C•ilINITY DEVI:LOPINI NT <br />BUILDING PLIZIIT AI'PLICA'fIU:1 <br />DATE <br />PERMIT NO. <br />VALUATION <br />PERMIT FIEL'--- <br />nnDllEss OF CO:;STUCTION WORK 31112-7 ORKA 5 r %//fW 15'ji <br />LECALI)IESCRIPI'ION: LOT _i3y/y BLOCK $19 PLAT 01VM u?!'Vf;'FT <br />UNPLATTED DESCRIPTION: <br />BUILDING DESCRIPJ:IO\: PIEI•! ' ADDITION <br />r <br />OCCUPANCY OR USE S/"&ft" 1'19A)ILY HEIGHTS IN STORIES 1 <br />IS T11IS A CHANGE OF BUI LDI;:G OCCUPANCY: <br />cidicAfNTclr— <br />eft ffl;92cus STE/n/ <br />MAILING <br />ADDRFSS WO M19Q„V(21,/}� <br />PHONE NUMMER 353 - 3e-1511 <br />CONTWXTOR ' <br />SIGNATURE <br />YES --�-- 110 <br />OWNER �V M �O <br />Yz7 o/9Ki`S <br />MAILING <br />ADDRESS <br />/Q1;Mogel- <br />PHONE'NIieIBF,R %lo�ryri :52-�/73 oI--tier 2s9-9yc(r <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BL11 (S CO?IPLIETELY INCLUDING TI1% PLO" PIA\ <br />Sill.-ITC11 ON REAR 01" THIS SHEET. - THE APPLICANT IS R1ESPONSIBLE FOR ALL INFO IMTIM 1MICH <br />IS FUIG:ISHED ON THE APILICATION. AINY CIIA::CL'S IN TEE INFOR1.1A I0\, PLOT P)✓,N OR BUILDING <br />PLL\S SiIALL BE SULMITTE•D TO THE INSPECTION DIVISI .- SOP. APPROVAL BEFORE PROCEED7.14 <br />WITH THE CONSTRUCTION FORK. <br />APPROVAL: <br />1. PLANNING. l LJ DATE <br />2. ENGINEERING <br />TRAFFIC D1.17SIi p <br />WATER SIERV•IC% <br />SEWER SIEIIVICE <br />PUBLIC S1:RVICE SECTION <br />3. INSPECTION DIEYALTNLNT (• <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WOIt1C SHALL COMPLY WITH APPLICABLE CODIES, NOTES ON DRAWINGS, AND <br />INSPECTIONS <br />