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9 <br />� <br />n <br />.C3':�-,:;�' P.VI_R�TT <br />DT:PAP.TFP'id'.0 OP COc;:•lU;;I'1'Y D�V3;LOPPIENT <br />IIUII�DII�G P1iiL'iIT I+PPLiCi.T�Oi. <br />Dn2r•. ;�' r � / !i��✓ <br />ADORESS OF CONSTRUCTSON WORIC _ <br />LOT �Z � / � _ BLOCK �_ PLAT _ ;�. �. . _ l".-� �.....�,,_.�l ./ <br />i <br />�— <br />C <br />PI:ItDiIT N0. <br />VALUi�TIO\ <br />PE1::SIT FEE <br />�?�.f� <br />�, �,� � -; <br />,- - <br />90,� ,> <br />e <br />�--p��— �jf6' <br />«-=--� �L � o <br />>; ..._ f �.�t�b l;`� %,� �, y <br />LEGAL DESCRIPTION: <br />UNPLATTED D�SCRIPTION <br />BUILDING DESCRIPTION: <br />hEW ./ ADDITION <br />-�—r•.�CL�..- C`�F_ �tai,..(_�;-(. � L�`ti. <br />REMODEL � ���"� "� <br />OR REPAIR /_`-`L <br />OCCUP::\CY OR USE ' STORIES / <br /># JP UNZTS _ �'T-- <br />UIiDING OCCUPANCY: YES NO // <br />IS T}JIS A CHANGE OF B <br />CONTRACTOR • .-�- . � — <br />MAILI\G " <br />ADDRESS y/' �' � r✓ S�� � — <br />� � � -✓� : ✓�.m�: � � ✓�.� %u7 <br />PHONE rUhIBER G �l y -��1 !3 � <br />- � <br />Oia:]�R J �%� c�— � :.� � _ <br />!•;AILING o <br />ADDRESS � ;' •,� � i,: �.r�' . �?.s . <br />� <br />: ,-�.i-! _. � � � C✓/c�'J %•' J r � <br />PHONE NUI•SBER �; s ? ' %�� <br />CONTRACTOR' S LICENSE NU:dBER � � � - (� / - '- 7 o S' _ — <br />SIGNATURE -s' <br />NOTE: THE APPLICA\T SiIALL FILL S.] ALL ABUVE BLA:�:�S CC�?PLrTELY INCL'JDING <br />TIIE PLOT PL:::1 Sc:E�CIi 0`: REIR �'>' THIS S}:EET. TIiS A;'PLICA`?`r IS RESPOiQSIBLE <br />PCR ALL Ii:FO'�;��'Zpy 1•;HIC:I IS FU?':ISHED ON THE APPLI��ATION. ANY CHe1�GES <br />IN iHE INFOR:�liIO\, PiOT PLAN 0� BUILDItiG PLANS SHALL B� S�DIITTED TO Ti?i <br />INSPECTIC\ DIVISIO:. FOR r1PPROC'tlL BEFOi E PROCEEDI:":G I9ITH TII • CONSTRUCTION <br />WORK. �, � , � <br />APP ROV�1L : // <br />DeITE <br />1. PLANNIIvG <br />2. ENGIIZE�RING <br />TRAI'FIC DIVISI0�1 <br />Y7AT3iP. SERVICE _ <br />SEF7�R SERVICE <br />PUI3LIC SERVICE SECTI02: <br />?. ZNSPECTION D�Pe�RTh1��IT �' , <br />n. FiRe t�u,�.st;�r, <br />NpTE: ALL CO`:STRJCTIO:: S•70:.:: SHALL CO;•iPL1 <br />ou niv,�•�I:acs, r.;�D z:•:sl�,.c�rio:�s <br />N�, s1.�yc4��,nl �..5 s�»�..p <br />' �; , �1NV Mr Cop, o� {�11w j <br />� ,��4.� i/y/-r y t'. :� <br />' ��ITii I�PPLICAIILE <br />TYP� � � <br />� �� <br />CODES , NOT�:S <br />J--! <br />