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- � . . . • • . DOZLDING PERMIT APPLICATION . . . •. ,T'.�
<br />• applicant To Ccmplete This : orm � � .,n' .�� ' ��M;
<br />. � • � 3 ���%5' -
<br />.� I! more than one building is to be contructed, submit a se arate
<br />.. tloa for each buildin 11 se arate P Permit a�ica-
<br />, 4• p permit will be issued £or each building.
<br />. . � Oraer �J. , , � ,.z_ Bailding Addsess � '/l / � �i�ic_,_C-Pj ,��i.� ;
<br />,. : ' /
<br />+ xddresa %✓ a- zr Lot /I Slock �C'C-/� -c'd .
<br />� , C�tY -? v'd Phone �5 �'�%T� Subdivision (Plat) �_i,r�,.r /( �4u .
<br />• ' � lrchitect/^nqineer � ��,��� , �- ,
<br />_ ';:., •.=i �tY _ • Phone lfetes i Bounds (Unplatted) ' . -
<br />:�' Contractor • . .
<br />.� -
<br />_ . •,' , � ,
<br />-%' . lAdless
<br />. �, City
<br />��i .'.f: :'
<br />, �.`y� � State_License Niaa6e
<br />� ..
<br />, �';i. L=piration Dat�
<br />Sec. Syp.' gqe � •
<br />Phone Suildinq IIse ' `• �' �
<br />:.� _� :.,
<br />r ' � Describe Work to Be Done� � , ��'�• �. � -�
<br />' �� /Ge�i{%C< /�l �'fC� �J! ;< ' ' �.
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<br />=1 : . � . .
<br />� r SEETCti PLOT PLAN SELOW' • -
<br />• :� �_—., y/~L.. -L-j= __ _�`'ii��-! � � • . '
<br />I '{ IIsn of euildinq
<br />� �.�I..,
<br />� +I /�._ .. %-' ' -n ' :'1 • . . .. �' �New ❑ Addition Q � >_pair/Remofiel
<br />� . ,i i /5 �'::: . �-'�%V��;-'- ' ir1•'-- �� � i. . . � S
<br />- • i, /},l . . �. �I �Valnation o£ Construction $ 5���
<br />�' : `t� ' .. . � . . . , . . � .. ,�. ��! , A r � .
<br />_„ � �.��' . y . PLOT PLAN REQUZRELNTS ?
<br />� ,\_. :�. . , -
<br />t,, ' : .. • . �.;
<br />� ��.' i. - : ' ~� ' _ '(�'� � • ' Indicate lot size, nane of streets, �
<br />f �E �"�S ` �' 'indieate location and width of
<br />' '�� ' '.:l ;' ; ' :'- I • alleys, locate pzonosed and all
<br />' .� • I ' ,;;-; •' -, ti.� . ' : _ �.4`� •, M ' txisting buildings, show distances
<br />to property lines, show distances
<br />: r � � . � . . � / . •.- -- � • ' betaeen buildings.
<br />. , I'� . / . . ,
<br />'� • i' i'ilTti z... '� • ypt size 7f x /� '
<br />- .'.'. ,',. . . .
<br />� � ' � Lot area /Sq. Ft.
<br />.:- � 1-:---'- .
<br />, .�: �; � � ' . . .• `. . . . Size of Sldq. Sq. Ft.
<br />s • ltumber of Stories
<br />' f. •: �---:------ 7 3���-=�------� easement
<br />, ,. - .
<br />y ` . . . . . . � i Signed By
<br />1 , :' . • \ '
<br />• • . . L� /1 � /_ . . . �c For . .
<br />, I Owner Phone
<br />-• •—+ Datc �eceived
<br />Ylan•Cyec� :7urber � '
<br />Yalnation � S�•�"
<br />Pemit' Fee
<br />' Plan Check Fee
<br />. ,: Tolal Fee Due ^
<br />Date Issued '
<br />. ., —
<br />,
<br />)
<br />�E-cOR CITY USB Oi7L'!
<br />II_e Zone
<br />Fire Zone '
<br />Occunancy Grou�
<br />Rype of Construction
<br />Occupant'Load •
<br />Sprinklers Requ.ired
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