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856 OLYMPIC BLVD 2016-01-01 MF Import
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856 OLYMPIC BLVD 2016-01-01 MF Import
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Last modified
5/18/2017 1:10:17 PM
Creation date
2/25/2017 3:04:41 AM
Metadata
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Template:
Address Document
Street Name
OLYMPIC BLVD
Street Number
856
Imported From Microfiche
Yes
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. . � . . �. � . . .. _�� . <br />. -�•� - ." . � ' ' > �/�k;%9..� <br />_ ! . 80ILDIt7C PEiL•SIT APPLZCATZON � / 7 ` � i � • � <br />. � . <br />�' � " , • , � Applicant To Completc This :orm C___' ' , � <br />.: •: �/�;..�7 <br />, •� .I! rarc th�n onc building is to hc contructed, submit a separatc permit �pplica- <br />.. tion for cach buil�lin3. �1 separatc permit will bc issucd Y:or each building. <br />.O�mer _�•�l�� ��.�/��.J1^al Buildinq Address �j L ��frr.n� c. /��va. <br />, � � �� <br />_ � . raar��g < <, �e,�l/. !2 ss sio�k <br />' � City , ,ir-r Phonc ' Snbdivision (Plat) ��r /�a� Ur -� ti� • <br />� • Erehitect/Enginccr � , � � ���e/ , <br />, � /�+nio � <br />i <br />• ` `•'� City Phone <br />�-� Hetes & IIoun•�s (Unplatted) <br />._ � ^.ontractor /'��t / r� 7^ Y -� � Sec. 2Wp. Rqe .. <br />i..r. ��?ress 7_s 32 �o�r�r/�, �i /��. • • - <br />_ �� ' <br />. •' -City ,�=L-PI t7T Phone�.i� l�/G5� 'Duilding Usc -7� Si /�r�oe_ <br />_ �.� . �/1-� d �eQ � .�. i <br />��.� � Stzte, License Na-iber 723 - v(� �] d-y Descrire Work to De Done /-i •,�-, '' � <br />_ . . , / � . _L-�H...�t1l�r • <br />: :i 2�iration Dat� � �(� �• ' • • <br />• �o c rG, �„ . <br />� ' �~ . - S!�TCIf PLOT PL7�7 T�EI.OT4' • , - <br />•; . . � <br />IIs� OL 3ui.ldir.g <br />. :.4 . ' ' . . . . -- <br />• . .. <br />- • .- • _ . . ; ' dP.e�+ Ij�) addi.t�on ❑ Repair/?:enc5cl <br />•_ �}� . �� • • � . � � 'Valuation o£ Constcuction $ GU '"��� � <br />..e ' . . . _ . . . , <br />' ' ' ' . '.- + � . . -..PIAT PI.AN I'� �:UT::B?t�NTS . . <br />. . ' • ' � ' ' xndic. te lot >i.zc, na_:.e nf streets, <br />' ' ' �indicate loc, tion ar.c a•ictti o� <br />. � ,. � - _ � '�• . . . � allcys, •locat� ar.o�osed :3 all � <br />'� � `,�.� - � _ _ _ ��� : . � '.' ' .exi�t-ing buildi:as, shc:u�distances '� <br />' '? ''=� -io property Lnr_s, �ho:� cisLarees <br />. :.� ... . ' . . • . . <br />. + : ' a , - _.bet�:een builci:�gs. <br />: . - . <br />Daic �ecCived <br />e <br />:i0': Si:i?T' <br />� <br />I.ot size x <br />iot area Sq.� Ft. <br />Sixc of Bldg. Sa. Ft. <br />liumbcr of Stc;ries <br />Eascr.ient <br />signed ny _�� , ,��L2f-�1 <br />_� <br />For �� �/ � <br />Owncr i'hone ' - <br />iI$ LI;dr.-FOR CiTY ( <br />Plaa C:uc;; _�u;bcr 7 S'-3C� � � ' <br />Vz2uati on ' ,�(�U` C� . �' � <br />Fc:-iiC Frc _� �- <br />llao Chrd: I'ce � Z� <br />10S.1). Z�'CC 17UC l� �c <br />=��?=.�-Z' --- <br />D:::c r::::uc•e � � <br />Y <br />Ucc Zor.e <br />Fire 7.one <br />Occuu.•_c�cy Groui • L <br />Typc oE Con;truct:i.on ' - p_� <br />Occupant I.oiil <br />�pr.inl:lcr ; Rcqu�Rk�( QF FV�pr-rr <br />• . APPROV[p �OR QUILDING P[RMIT <br />: Date�i:�_ �J__ [3v . �_- f-_' <br />
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