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h <br /> C7.7'Y OF T.'V::1ii;TT PL•'RA1IT N0. ��5�' <br /> DLPARTMENT OP COMt�7(iNITY DEVPI.OPMliNT �j-.�/' <br /> BUILDING PL•:RI4IT APPL]:CATION VALUATION � �? ,� <br /> / PEI:2dTT PEP•. �j�_ np <br /> DnTE �� � .. • / G7 <br /> ADDRESS Or CONSTRUC7'ION ��ORfC ;; '1.2 2 �jfc �„ ,` F,/�,� c �1 LC.���, 5 h <br /> L1:GAL DESCRIPTIOIQ: LOT /1�__ I3LOCK ��Q PLAT ry �',J�i=�l /_ ;- <br /> UNPLATTED DESCRIPTSON <br /> REMODI'sL <br /> IIUILDING D1:SCRIPTION: NES� _ ADDITIO� � nR RPPAIR <br /> H OP UNITS OCCUPANCY OR I;SE STORZES _L_ <br /> I^u THIS A CIiANGE OP IIUILDING OCCUPANCY: Y�S NO �� <br /> CONTRACTOR OWNER /,),� ��',���� j��„���J_y, <br /> tdAILING MAILING <br /> nDDRSSS ADDRESS Sf� /��t� <br /> PHONE NUMllI3R ?'I�OidE NUMF3ER <br /> CONTRACTOR' S LICBNS� NUMBER <br /> S IGNATURE ��G�� � �ji�;'✓ ;�/fy� <br /> ' v <br /> NOTE: TIIE APPLICANT SHALL PILL IN ALL AI30VE }3LI�id1C5 COMPTPTELY INCLUDING <br /> Ti]E PLOT PLAN SKliTCIi Otd REAR Oi' TIiIS SHEI:T. T13E APPLICAI�T IS RESPONSIIILE <br /> P02 ALL INFORPIATION WllICII IS PURNISHED OIQ THE AYPLICATION. ANY CHANGES <br /> Iid THE INFCRbiATION, PLO: PLAN OI2 $UILDIIIG PLANS SNALL BL SUBIdITTLll 7'O TIiG <br /> INSPECT]ON DIVISIOI4 POR APPROVAL IIEFOiiE PROCEEDING WITIi Tllli CGN TRUCTION <br /> la'OR K. <br /> nPPROVAL: ��� <br /> 1 . PLI�NI4II�G �� DAT� _��f�c� <br /> �_— <br /> 2. GNGINI3T32II4G <br /> TRT�FFIC DIV'SIOi� <br /> P7A�rL�i SEI2VICL <br /> SI3f4L12 SEI2VICE <br /> PU13T IC SSP.VICL SECTION <br /> , . INSPECTJION D�PI�RT7�S�NT /�- C.�C/��l1�,,,�- ,�'-t'� '7�F <br /> z__l� �' i�.� � _ — <br /> 4. PIRE I�'f7�R51311L ' <br /> 1�0'PE: ALT� CONSTRUCT70W S40R}C SH11LL COi�;PTY {VITN ]�]'PI,ZCABI�1; CODES, 1�OTP.S <br /> ON DR?+bdI14r;, AtdD I1�]SP);CTTOt�S <br />