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CONTRACTOR <br />NAl)..—m G <br />6DDI:J;CS <br />PIt0:B 1 Ui1?30 <br />C0:�1'i:!.C''I'OR'S LTCFiVSl: NUI•S�IiR <br />SICL'L'!'L'^.li <br />CI'1'S' OF li i lu:TT <br />1)1:11i+l l'r11;IV'I' OF CUI!?11JiVL'1'Y DhVh1.011r11ilV'C, Ci DATE ISSUED -- <br />CONSTRUCTION PERMIT APPLICATIONI VALUA1JON <br />n �j I l'1':Ilrll.'1' FET., <br />DATE <br />ADDWjSS OF CONli'1'UCTION 11011( -Z 11A V ;,l :a +/— <br />I,IiG,SL DESCRIPTION: LOT -2,6p _ BLOCK <br />UNPLATT)"D DESCRIPTION: <br />REMODEL v <br />)WILDING D'3SCRIrTION:, NIiW —ADDITION Q&,P or R1,PA11. <br />OCCUP:IIVCY OR USE <br />IN STORIES —_ <br />IS TJIIS A C1IANC11 OF RUILDTNG OCCUPArlCYC YES <br />re�ILlrlr, <br />ADDRJisS <br />NO <br />,'11M. 7rl.'.LI:C,%:T SIILTL FILL IN Aij,, AliOC'E Pi :;::5.CO?1PIk;f1:LY II;,'L1!D1:`1' THE PLOT <br />';:f :L:' )':•'].'0);SIL'I:i 1'Rr ALL Ii:'.•'01SATTO: 1?i!lt.11 <br />SI:i:J'Cii oil P.111,1: Cl.- TN7S Sr!:;):T. '1'I;:i !+1'i'J,1:C•.�n �:-�: <br />IS Pi' :iVf;+111:D W THE AP':'7 Q!TIQAI. ANY Gi-i:G1:> T.i: THE Ir21i01:i`:''.9'"i J::, PLOT PLAN 01' BUILDING <br />1'IA:;:; atl.'+1,`i L'1': Sl!;l;•ltJT1:D TO'fIIE IPSP;i(:J:IOrl Dt,.,.:;10.': )?U'( API' o:':1, rEFOli'i r1:OCEliDIi;G <br />WI:R 211E CONSTRUCTION WUllr(. <br />APPLICATION RECEIVED BY <br />•1. PLANNING _ _ DATE <br />2. ENGINIIERI'NC <br />SEVER SliI:VIC),�- <br />3. .INSPECTION DEPARTMENT — — <br />NO'1'It; ALL(''I; ;;'1'1;11CTI.011 W61, S:IALL CO;!I'J.Y V .T11 APPLICADLI: CODES, 1!0'Pli,`i OIV 1)1'AtVItlCS, AND <br />