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_. �: . — . . • nuzLoi�,c PERhiST TPP7.SCATIOI� � � ' ' �'� �.-,' /.: �s `-
<br />- � ' ' ' , , IinplicaiiL To Complelc Thia _'orm i ' �'• i �( � �••t
<br />.. . i , ,
<br />••� IP�wrc thin onc Uuildin9 is to bc contrucCed, scbmit n �eparatc pcimit applicn-�•
<br />., tion for cich Luildinq. .l sc�aracr_ permit will bc i::�ucd l:or cacl� buiJ.ainy.
<br />. � � Dmer .iy��_�r � -1� i � Ltuilding Acldre�3 �1� �j1 ,h: �l
<br />. d ?�_L �_� \
<br />� h]drec� ,:l Lot � '.� -i, '� Dlock �
<br />'� CitY�RQ�I' Phonq.�2�._�cU_'.-j Subdivi�ion fP1atI;NZ'� n� � 1,�T C�„�.�(�
<br />� � Aroliitect En \\ �
<br />i -
<br />� g�«��r �0 4 ,u�t�.�e '
<br />- . :; � ::.i .
<br />_ _ City \ Phone � Dt^tes L L'ounds (UnplaLt•ecl)
<br />� ;,• Coatzactor + '�LSL�� ��.t��r�� 1,� .^,ec. 1�,,P� � — ..
<br />. ..., . . Rg
<br />�. ,-. 1.ddres\ � �� C \'�l' �Z-�l'��-���� �1�.� ' :
<br />.. •' -.C.itY � (, �1 �3�_. Phone -�7�-�/G, � (�Bui.lding Usc ` �'
<br />_ _.':; ...,:.. . . :::�; ' ..
<br />�� Stzte Licen:e tiia�ber���-�)�-��y�� Describe {7ork to De.Done� '`1������
<br />: • �I I�ization Dat� r�- `- �� • _ f .1(�r' 1� C�_c, ^ '
<br />�1: .`! ' � . `_� � ��
<br />� - SP.CTC}i PLOT PLI.?I 9EL041' • -
<br />_ - .; •
<br />..' • . .. . " • � . .
<br />: i , Dse of nuildir.g
<br />� ' • • , : �F:ew ' ❑ Addition Q Repair/Rc-mo;<cl
<br />, ' . . :
<br />� �' _ ' � � • • . - Oaluation of Construction $ �'� '�
<br />• , ' . � _ • . . .
<br />„- �� , , � . . ^ '>PTAT PLAN ILQUIrL`::::TS .
<br />� � . . . . � . . •
<br />. . ' ' � ' • ' ' Indicate lot sizc, nanc of: streets,
<br />' � ' ' - ' •indicatc locat•ion at:d :;i.dth o�
<br />� ..
<br />: _ �' �• • � -allegs, �I.ocatc aroposed a;.d all �
<br />'�'i . ...- . • . . .. . _ .er,isti.ny buildi ;cs, shc•:i di::t:;r.ces . .
<br />�O - Lo property lines, s't;ow distances
<br />. :.� ' , _ . . .
<br />• ! � q • ' betiaecn buildings.
<br />� . _ .
<br />. � . - - . Z.ot sizc x
<br />, . .
<br />• - t .
<br />.._ . . 7ot arca Sq. Ft.
<br />�•. :.• • • • Si�e of Filcg. . Sq. Ft.
<br />' . ' • � � I�umbcr ot Stc;ric,
<br />. :: . s . • ' � IIase:nent
<br />. ' • ._ • — ---
<br />� ., - . • • Sign� ---
<br />' , • - . ' � . . • � � � Fon ��, '�/ ( �`,.I,_,"�, •
<br />. . . . , .. � ,. .. Uuncr Phonc-�{��jT�l
<br />no uo:
<br />T�tis
<br />Datc 3:eceived l��
<br />Plan chec;; :7ur.,ber % -rv-� -3 � �
<br />Yalvation � , �-�n
<br />Fcmzti I•'ce � � . ��
<br />' / CO, o �
<br />�`lan CI�ecI; 1'cc �_
<br />.Utal F'ca llcc 4.�'. �' O . --
<br />D; tc Sc:�ucd � .
<br />-�='��_...
<br />�r,-�oz c.��r ��s�; o�rt,•r
<br />Uc:c 7.onc
<br />1'irr_ 2onc '
<br />Occuunncy Grou�� ,
<br />Ty�ie of ConstivcCion Cj � . .� .
<br />o����P,-,�,e r,o,,,�
<br />S,pri_nL-lcr:: R�.. uired ' .Y
<br />ri r� o� .Ev�--------
<br />� APPhOVE4' FOR BUILniN6 PERMI'I
<br />Date' '1' ..--=-' �-�BY--i' � _•
<br />• r� �
<br />u
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