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' % ' . <br />. . ' If norc <br />. ; Lfon fo <br />•'� Dimer � <br />� <br />_ . _ --- --�- <br />, • � ,—. . � s' E- ..i <br />• � � T <br />' ' SUZLDINC PLRHZT AFPLZCATION . , .�,;�"• <br />� 1lpplicant To Completc This : orm � • j������ <br />�n onc buildinq is to hc contructed, submit a separatc permit applica- <br />�ach builc�_i. �l separate permit •.�ill be issued tor each building. <br />�/ • � „% �. <br />� IIuilding Address �LQ -�'��., • <br />. .y�/ <br />. � . _ llddress r/ �*'B Q¢ <br />� . �. City � Yhoncl ,r�ri A_ D <br />' • bzChitect/Engincer • <br />• °.• `'•'� City Phoiie <br />��s� Contractor `'�EL1C <br />., • <br />. .�;dress <br />' -aty Phonc <br />�;.i � .. . <br />' �''y.� � Stzte.iicense NL.^:�cr <br />:' .•.:i Ezpiration Dat� <br />�� � �� � : S�TCIi PLOT PI.74I T3ELOi•l � ' <br />i . . • . <br />• .� �. • : • , .. <br />L. . .. .. • ' ' . .. . . <br />� ••'�, � • � . . . . • <br />� �' • . . . � - � . <br />, .. , . . <br />- . • � . <br />� • � : • . ' . . ' <br />. .• � . . <br />. j . " ; •. .- - '. . . <br />�- � `�=i . - ...- �- � : . : <br />' '' - ~ - <br />. � -� ' • _. � <br />'' i - , �_ <br />r <br />DD �O'_` 4:2IT� 9?I.OS9 <br />, Datc �ecCived ��/ !� ' <br />r13:1 C.1CCi: :IU.'..SCr "��� <br />\'alua�ion � ��• �O <br />P�^�iti Fcc �, ed <br />' • �----�- <br />Plan Chec}; L'cc <br />.. S Ofl <br />� aotal S'cc hur ` .^_._ <br />.. ' Paie ia:;�c�: ___L�_1_.__—..-� <br />yo��-�— lock ti <br />Sub3ivision (Plat) �lJ�E�7T' ' <br />Hetes E Bounds (tlnplatted) : <br />Sec. Tcs'P._ _ R4� . <br />• : . � <br />'Auilding Use �Z-��%��JG� "'v._-:,' .. <br />Describc t4ork to IIe.Done ' <br />—��',�c� <br />� CoMP i - <br />IIse oL 3ui.lding ,r��^� <br />❑idecr ❑ elddi.tS on (�'F.epair/FiC'iG_�1 O <br />,Val.uation of Constcuction $ �CtiG' � �� ' <br />:,PIAT P7.�1N REQUSI:��X:;;TS . . � <br />' Indicate lot si.ze, na.:.e of streets, <br />•indicate location ar.d wicth o` <br />• alleys. locate aroposed ar.d all - <br />. • .existin9 baildi :gs, sno�.a di �taaces <br />. . -io property lines, �how distances <br />_.:between buildi:�gs. <br />I,ot sizc X <br />Lot- area Sq. Ft. <br />Si�c of IIlrig. Sa. Yt. <br />l:umber of Stor.ies _ <br />Dasenent/ � <br />�- signca IIy � �-'�--- . <br />• leauT Git�'O�Tso^a <br />� For -� <br />Uwncr Phone _ <br />E-FOR CiTY ❑Sc Oili.'L � <br />U�a Zone � Z, <br />Firc Zonc � � - <br />Occup�ncy Group ' <br />7ypc of ConsYruct:ion <br />OccuPanC 7,oad _ .. <br />:;Pr.iuklcr� Reqt:ired _ <br />. . . <br />