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Tpplicant 'I'o Cec�pictc 'inis : �cm i/� ��� <br />If more th�n one building is to be cnntructed, submit a separal-e permit app�/L/`'s <br />tiun for each building. �\ separate permit will be issued _'or each builSinq, j <br />� ,/ ' <br />Owner l��/�% `./���'/M�L Building Address �OaS/�%a,ri�T6u �✓1� i <br />�-7 I <br />aaaros� �DS i�%<ci�r�.—c=o /�a�r� Lot /s�-2 sio�k 5 <br />City ��✓C,2�7J� Phone .�6`S-ZLSzf Sutx3ivision (Plat) U/�•PGi.r���D�r/ _ I <br />;�rchitect/Engineer _ ! <br />City Phone <br />Contractor _ <br />Ad3ress , <br />City <br />State License Number <br />Expiration �ate <br />Metes 6 IIounds (Unplattc3) <br />Sec. 'IWp. Rgc <br />Phonc Buildinq Use G.Pr.E'.v,�-o�s.c <br />Descri6e Werk to 6e Done .��GT. <br />SfiBTCIi PLOT PL,`,:i DEi0:4 <br />U:;e of Building �.P�"E,�/yOKS.r <br />,fyNew ❑ Addition ❑ Repair/Fer..o�e'_ <br />Valuation of Construction S�B�� � <br />PLAT PI.7�N REQUIREb1E:.T5 <br />]ndieatc lot sizc, nanc of strects, <br />indicate location and �aidth of <br />alleys, locate nzoposed snd ali <br />existing buildiaqs, sno•�r distances <br />to property lines, show distanc��s <br />betwcen buildings. <br />�,or. S�Z� y�' X .35'i' <br />r.ot area ____LL62S/ sq. r�. <br />Size of Bldg. _�� Sc. F=. <br />hunber oE Stor:as � <br />'�=c-cr.t /.) <br />Sicnc� 9y <br />For <br />DO N0: P:RiT:: '�LOl7 :HLS LI:dE-FOR CITY USE O:iLY <br />�_'r -. ..- : ---J—r J �' � U:e .'.one -- — <br />?l�n �..cc:. •Icrtc- <br />Valuation <br />Pemit Fee <br />Plan Checl: Fec <br />Fize �one ? <br />Occuoa�cy Grou�, T <br />Typc of Construction T 1..5 _ <br />Occup:+�[ Load <br />To[al Fre Duc _ Sprinklers Required <br />�acc tc,:���d Clfl' ��F C\�('�,�:TT <br />-------- AFi'��i1V��1 f�., i:'in�,i�:,,�fCR��•"� <br />� F�g. 3 19�> � � �� �� �— <br />