Laserfiche WebLink
: ,. ..-y <br /> . �licant To Coapletc This =orc� � " j q� 7��� <br /> / �Zi re:e than one buildinq ie to be con¢ructed, su�mit a sepazate permit applica-��9 Sj <br /> , tinn foe each buildiny. .1 separa�e pes7ait will be issued for each building. <br /> � tl�mer 1i%nG�/` �.-J TC�a/ 8uildinq Address ���J��JG'�n F/ : <br /> . <br /> � 1� ^-' Hlock <br /> � . 3dIIress �.%Z2. /�r/::src'e _c:�i?.r,e_z, Lot - <br /> • Y'7z�y . <br /> . d.ty . � � ' Phonc .2-S J,�?�3ab3iv�sion (Plah) <br /> , <br /> ` • lrchiteet/Enqineer �y��'�Jn.� ��5�e;u� _ � <br /> . • ti =•� �ty i�, �(' pbonn ��% �/U� Metes i Sounds (Unplatted) _ <br /> �f . <br /> :, Coa:ractar d�'�� ..- 7� i`��=��_ Sec. Twp. R4e <br /> • . ' 1ddYe55 7 [�, . ! �'; __ J�'�' /1/7 � C� re/ .� <br /> �' �' �,� � �/ L ► <br /> ' Citp �t`�_. Phone�� Bnildinq Use �!Z'/'ac� �'/ •s/d��.S-•;� :;'•, <br /> ' �� State License Niunaer �'v7i3�0�r�`�j �� Describe Work tu Be Done �'� � � � <br /> � • . .I LYPiration Dat� � '�'� •/�� J'��//� <br /> :> � �� � SRETCFi PLOT PLAlI BELOTQ' . • . � / ' " �. <br /> _: • :.� . � IIse of Huildinq )rY'r>�t .��� � �i <br /> . � �! �' � �tes� ❑ Addition ❑Fepair/Remoucl , <br /> � : . . . . . i ' ! <br /> ' ^ '• . '� � .. ,� ' , • Valuation of Construction S .> SG�� � . <br /> �. • , ��. - PIAT PLAN REQUZRf'.MENTS � =4 - <br /> ., � � � f� � • . <br /> � • i , . ' � � 2nIIieate lot size, nane of s:reets, <br /> � : i _ .�/ � �indicate location and width of � ' , <br /> ' aYleys, l�cate proposed and all <br /> ;. ' " " � �,� � '�Q existing buildings, shcw distaace� i <br /> � ; a 1 d� . . _ :: , � . . .� , t0 property lines, show distances <br /> � I betxecn buildings. <br /> � _ a l _ / Iat size x . � <br /> , � " �/ I <br /> a . Let area Sq. Ft. <br /> �� � � - � � Size of Hldg. Sq. Ft, <br /> .i r. . • .. p�ber oE Stories � <br /> •_ i' Baszment ,j �� <br /> :.. ` . • Signed i�y 1if'1' 1�� �`�/_L�.�" � <br /> � ' � � - <br /> • � ror <br /> � Owner Phone <br /> I <br /> � " DO NOi Sr':iLT� B�LOS7 THIS LZ:IE-'r'OR CITY US^c OtIL'f �i <br /> , -- • . I <br /> Date ��ceived Dte Zone '. <br /> _� , <br /> ' Plan ^_Heck :tucber Fire Zonc � . I <br /> Qalnation ��' ' Oeeuoaney Group � <br /> femit Fce Ln �� Type of Construction <br /> // /J �� Occu ant Load . <br /> Plan Check Fee �i'-'T• _ p <br /> . ' SOWl Fee Due �� 2 . Z� Sprinklezs Required <br /> . . . . <br /> Date issucd ---- — . •. ' ' , ' .' , . <br /> ' . � • <br />