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� , V . ' � � HOZLDING PERMIT APPLICATION , ' ' � ���>; ��,� ? E 'e �'� �� <br />. : �lpplicant To Complete This ^orm � ' � �o �j '�'�'Z � <br />. � <br />� If more than one building is to be contructed, submit a se arate a ��' /`'/ r <br />� tion for each buildinq. .1 se arate P Permit applica- <br />P permit will be issued for each building. <br />� �e1 �' �J�'� t�2-r �'� auildinq Address � <br />address _�OC �/— /�7 �' �,��. / yct . <br />Block � <br />City �v'c'r�>�i Phone 3SS- �p�y Subdivision (Plat) ; <br />IIrchitect/Engineer ' <br />� • . <br />j City Phone Metes 6 Bounds (Unplatted) <br />�' Coatractor 1Qc� n r- %�o �t n 1 r - <br />7 F�n[ c'. Sec. �. gq� • <br />_ llddress � �/ 0 — �� /> ' j : �-(/. . ' ' <br />�ty L•��nWanc� Phone _% J� -���y guilding Use .� <br />..�r:�.' . „_'..' <br />State License Number a�:3-os-3��o pescribe Work to Be Dene ."� � <br />Lzpization DatB � "�._ �� , <br />. ' SRETCii PLOT PLAN BELOW' . . <br />.. I .: : . l . <br />a <br />• i . . <br />; <br />:�-1 - G"� <br />f . <br />; • <br />� <br />r,: - <br />3. <br />� �����/. . <br />�= r oh7' <br />�' c�di.vL�:vll f'�N�r <br />Use of Buildicig • <br />�Nev ❑ Addition ❑ Repair/Remofiel <br />' <br />� �Valuation of Construction $ � ' <br />. . PIAT PL�1N REQUIREFI£NTS <br />Zndicate lot size, name of streets, • <br />�indicate locatioa anc width o£ <br />alleys, locate proocsed and all <br />existing buildiacs, show distances <br />• to property lines, show distances <br />between buildings. <br />Lot size X <br />_ Lot area Sq. Ft. <br />Size of Bldq. Sq. Ft. <br />Number of Storzes <br />Basement <br />Signed By <br />For <br />Owner Phone <br />, � � DO NOT [t2IT� B=:,Ot9 THIS LI:1E-FOR CITY USE ONL'1 <br />- -- Date �eceived ' ' <br />•� ' . D�e Zonc <br />� P1an.Check :7ur.,Ser Fire Zone - <br />Valuation Occunancy Grou� <br />Pemit Fee <br />Plan Check Fee <br />� Total Fee Due <br />Datc issued <br />Typc of Construction <br />Occupant Load <br />Sprinklers Required <br />