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� <br />•.�: <br />• � � lOILDING PERMIT APPLICATION � ' • �2�.j <br />" : • . Applicant To Complete Th:.s 'orm /�(�� � <br />�,!� d <br />• I! more than ane building in to be contructed, submit a separate permit applica�' /S� <br />tion Lor each building. A separate permit will bc issued for each building. <br />;� Ames �ic- ,1 Sc�i�9h.�o� Huildinq Address �sjp lJ�4n,�i� �C� � <br />' , Mdress (o Sa�� i'c v,f i�/G� Lo! S Block // . <br />. City �de�7/' Phone 3�3-a'3D� subdivision (Plat) �u %�i�/ls � <br />�— <br />' � �rchitect/Engineer � :�% ✓� �J ' <br />':� City Phone Metes i Sounds (Unplatted) <br />_ � /� .. <br />� Contzactor Cc�A - l'� ��ia ��ca c.,o. Sec. 1Wp. Rge . <br />: lddress • • . <br />_ _ • � <br />.'' City Phone Building Use ' : �5:�._ <br />;�� ;,. . -.=, <br />�� State.License Number Describe Work to Be Done ��ns��2uc'i-� , <br />. . � . <br />'� lapiration Dat� ' ir Fe-.-i�-�-� <br />�1: .. ' � SRETCH PLOT PLAN BELOW� • _ . <br />' ; ' � IIse of Huilding � <br />:.i . .. . <br />� ' ,' . , , _., ❑Nev ❑ Addition ❑ Repair/Remo&el <br />� � ' � � . • 'Valuation of Construction 5 %y�� sn . <br />� . . ' - . PLOT PLAN REQUZ?tE.�SENTS - <br />�. � � <br />� <br />. <br />. � <br />r.. ' <br />.; <br />. .; <br />:.. ' - <br />•�. — <br />. ; <br />• <br />Indicate lot size, nane of streets, <br />indicate location and width of <br />- alleys, locate nr000sed and all � <br />. existing buildings, show distances <br />��. to ptoperty lines, show distances <br />betaeen buildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of Bldg. _ . Ft. <br />Number of Stories <br />Basemen <br />Siqned By � <br />For <br />Owner Phone _ _ <br />� DO NOT StiZ2T' 3ELDC7 iHIS LI:IE-c'Oit CITY USE OPL'f <br />• Dace Seceived Ilce Zone <br />' Plan Check Nur..ber Fire 2one � <br />Valuation Oecuoancy Group <br />Petnit Fee Type of Construction <br />. Plan Check Fee Occupant Load <br />,' ibWl Fee Due Sprinklers Required <br />Date Issued • . . • - " <br />