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.. � Applicar.c 'Co Ccr.,plc[� 'rnis .onn / a � �/ <br /> If c:ore th�n one buildir,� is to be eontructed, subnit � separate permit applica-���� <br /> tion for each buildinq. �1 separate permit will Ce issued for eacl� builQinq. <br /> i �7 // . <br /> O�rner �,;�,� � (;2.�-i �c v S/ Building Address � <br /> Address �—G� C� �Q�,G� � Lot� Slock � n ; <br /> / L , <br /> y , `.�u �c )--c Phonc (,(�'� - Y " ( ) �/.�-t r�/ /_��� ,'�' <br /> Cit �S��O ,,ubdiv_�ion Plat c' < <br /> Archit�._ct/Enginccr . <br /> City Phone Metec s Bounds (Unplatted) _ � <br /> Contractoc ,)r�S �c / � �?�J-r� ��/ Sec. 'IWp. Rge <br /> , hddresc /,�� � (Lo��� � <br /> City � ,�,-vy� Phonc ,��'.'�I..5�'.�d Buildi.^.y Use _�� G � � ' <br /> Statc Licensc �umber �� � O / / 5/�j1! �Descri�e Wor1: to Be Lo::�. ' <br /> � / — <br /> Expiration Date � � 7,� - <br /> SY.ETCH PLOT FI.A`: AGiS'9 <br /> � � Use of Building � ' <br /> ----__s_ _f- —r <br /> � �Nca ❑ Addition ❑ Repair/F.er,onel <br /> � <br /> Valuation of Construction 5 � <br /> . PIAT PLIu; REQUIR&�fE::TS . . <br /> . ` <br /> 1 � 7ndieatc lot size, na^�e of s.:eet- , <br /> � � ��- - ,� y� � indicat� location anZ �idth o: <br /> � �� I� � alleys locate aropo�ed ar.d �11 <br /> existing buildir,as, siiow dis:�accs <br /> . to proocrty lines, show distancc= <br /> betw•cen buildinas. <br /> Lo t s i z c �/.{"— x J �_ 0 <br /> 2�� - ---- I �-i��R"--- I Lot area Sa. F'. <br /> ,t � I �.z Size of Bldg. Sa. Ft . <br /> ' U� �% I I Fur.,ber of Stor:es / <br /> 'a�� . . I . � a.1�_ I ''=='-O�` _�_ _. <br /> ---- - � — s�gr__ �• ,.�r , �' a Jz-�- <br /> ���- ,/' <br /> 1 k'or � �'�' 1`�_=�ri=_ '�" ° --� <br /> �bi r�cr F�non� •3���- -g- y -� c, <br /> (� <br /> DO'NOT {�:t7TE °ELOil ^Hi5 i.INF.-FOP CITY USF. C::i.Y <br /> >>�c '-.- - � -� ----- -- U:e �c�.> .�_Zi��I.�L� S'�i�ht <br /> r:�- ..._�_ .,_-__- -- 1i-11q_— eire :.onc �3 --- - <br /> �� Y <br /> valuation 3y�Tj_p� . _ occu;:n�:y Group y <br /> Pernit Fec _�_Z.� u� Typc c` Construction -� ti_� __ <br /> �� <br /> Plan Chccl: Fcc �, Y- �� Occupa�t Load _ <br /> � � <br /> Tocal Pec Duc ___�_�'�, Sprirklers Required _ ___ <br /> �acc 1:,_nad � ; �. . :,�TT <br /> � �, �- .- . :�i <br /> � ------ . ._ . . . "r � �i� r�o �c1� <br /> ' �� . Cce1Z- �— 2- ��—,� � �,�� <br /> � i�(��' <br /> . <br /> — — - - <br />