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r <br /> � C7:'PY QIT ];`JI'R;,`PT PL:kAi].T N0. ��� p <br /> I11:P11P.7'idli':9' 01' CO^;>1U;2TTY D���1;LOP:SENT // /� <br /> I;UILUI:]G P!ii:iiI'i i,i'PLiC1.TI0:: �� ViILUATIO:: /O��o � <br /> PLl:?.IT F L�. 3� <br /> ll7�TE q�Z ��� -� <br /> / � <br /> ADllRESS OP CONSTRUCTION S•70RK �,j 3�2 /y�to� <br /> i <br /> LP•,GAL DESCI:IPTIO:I: LOT �� .{ �z, T3liOCK ,�2�� PLAT /� // � C� , <br /> � <br /> UNPLATT�U DBSCRIPTIU?7 <br /> �� S �s� ���i �j_�2 <br /> IIUILDING DlSCRIPTIO::: NEj4 ADDI^1ION RI:6i0DEL / <br /> OR I2EPAIR � <br /> i' OF UNITS / OCCUPii\CY 03 USE y1�•1 . STORIES / <br /> IS THIS A CIIAD:GE OF IIUILDING OCCUPANCY: YES NO <br /> CONTRACTOR ,c/,��� ��n„�� �,�_ _�� G. 0�•7N�R �� iG O <br /> [�IAILI\G i•iIILII:G <br /> ADDR�SS /n7 o z Lv��m*n.� ti'- S��//� ADDRESS 5�.��/,�� <br /> PIIONE NUidBER ,�G�/- C'j1yY PHONE rU?fIIER <br /> CUNTRACTOR' S LICENSE NU.�iBER �' <br /> //7�' <br /> SIGNaTURT �-/" ' ' <br /> NOTE: TIiE-APPLICAN^1 SH�I(I� 'c ILL I.: Ai�L ABOVE BLAi:i:S CO:•iPL!:TELY IIdCLUDING <br /> 'PIIB PL�PL:.:1 Si:E^_Ci: O:; :::nR 0?' Ti:IS S}?T']:T. 79Ir APPLIC�'�?�'P IS RESPO:vSIBLE <br /> FOR �+LL li:i'OP�i::�IO:: �:::ICII IS FliR`.:IS:I:D O\ TEiE APPLICATIOid. ANY Clie�i�GBS <br /> IN THE I1vI'OR:IAiIO:d, PLOi PL%�;Q OB BUILDING PLAIvS SE3ALL BL•' SUBh1ITTT•.D TO TIiE <br /> INSPnCTI0i4 DI�'ISIO:: FOR iePPRO:%AL E�PO,.E PROCEEDT`:G I�ITH T13E CONSTR[JCTION <br /> WORK. <br /> I�PP P.OVAL: � <br /> 1. PLANNInG Dr'1TE <br /> 2. ENGIi�P.EFIIdG <br /> TRi�PFIC DIVISIOIQ <br /> S•;ATL•'R SERVIC� <br /> Slib�ER SEP.V7CP•. <br /> PUSLIC SEI2VICE SECTI ^ <br /> ?. INSPP.CTION DEP�l12T:lE\T � V(- �'7- 7C/ <br /> 4 . PIIiL•' I•;i�RSIir�L ' <br /> NOTl:: ALL CO?:ST^L'::TIO:. l';Oi::� Cii:��i._, CO'iPLY 1':I'1'll J�PPLICAI;1.1� COD1:S � :i0i'�;S <br /> Otd UI'v'��•::I:2G:;, A:�D I:�:;i�i:CTIO:;: <br /> Iu'EIE� C� NTILi�'7' (�/2 !C F <br />