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'- •' .. � . � . � ' � ' DOILDINC PEFiMIT APPLICATION , . . •,. F �T �� <br /> ^ ; • Jlpplicant To Complete This ^arm � ��/. .�.,7 <br /> � ' � 2! more than onz buildinq ia to be contructed, submit a se / <br /> • • tion for each 6uildin �/��/�'� ' <br /> 4• �1 separate Parate permit applica- <br /> _ � n permit will be issued for each building, <br /> . ' Ovner C�l '1'�.� � IS/� �.L �✓ �o / / ' / <br /> • 8�111dinq Address <br /> . , liddresa /� lL- � .i� � L-• — r' �� _/1�Lb �ni,C�Gfs /lQ.i <br /> „s�, � Lot ,� 5r J slocx �' 3 _ _ � <br /> � Ciiy ' n p c. <br /> = i�c.,--'�_ Phone� � <br /> + . � Subdivision (Plat) <br /> _ ' itect/Engineer • � T � • <br /> - • ,, '.-I City on� ���� -���1' J//U L, � <br /> • Metes s eounds (Unplatted) <br /> • ..;� Contractor -(�..,. i�a ��r�� b� �i FA � �' <br /> .. `Sec. 14+P• R e •� <br /> - ' '_ Maress 1 ���- ,,/z C�4r g �. <br /> �. �tY LYAtdfwA ,( Phone 77�1 � .: . <br /> . ';' ' ---'� Building Use ; �. <br /> • �t State License Number 2� 3 p 1� j� . . <br /> Descri6e _ ...,.�c�.r.�i.,.. <br /> Work to 9e Done -'-";:�" <br /> ; .I L�cpiration Date --�,__, <br /> ,. : ; - � � /�-� d r�`_ . <br /> . . . ; . ' SICETCN PLOT PLAN BELOIJ' r�i— <br /> . I . • <br /> � '� • � • IIae of Building ��„ �_ �� � <br /> � . • . . . . <br /> ' . . _ " . ' . . . . �New ❑ Addition Q Repair/Remociel <br /> . , • • Valuation o£ Construction $ y/^ � <br /> �,.. , . <br /> : ' � ���., � • ' _ --�..:ci��_. <br /> . ' � ?� � ;•..�� . .. • � � � . . FI.OT PLAN REQUIREhIENTS �� <br /> � � j. , . Iadicate lot size, name of streets, � <br /> �v �indicate location and width of <br /> alleys, locate nr000sed and all <br /> ' • • � � �� ' existing buildings, show distances � <br /> . � ' � ' / '� I ._: betaeenebuildings, show distances <br /> , , <br /> .. � j 2o Aj'�-� • Lot size X . . <br /> ,' .: = , • ' . Lot area <br /> ' " Size of gl q, Sq. Ft. <br /> ' __:\(� i, ./i'� ��� ' . �mber of Stories--- S4. Ft. <br /> ���� '�" ' easement <br /> '� •: <br /> ' '. . Signed By � o_ �e � ��"� <br /> For -�� �i rQ� <br /> Awner Phone �_ <br /> no[,�(F�!�r�,, <br /> . � � DO :IOT SC:2ITr B=LO[9 THIS LI:]E-POR CITY <br /> " �- Date Seceived US^c 027L't . <br /> . /S � ^ Oce zonc <br /> � Plan.Cyec:: :7;u.;Ser • <br /> Fire 2one <br /> Valuation ��0�. ��' . <br /> ' Occuoancy Group <br /> Peznit Fee ��. �� <br /> � �. . Zype of Construction <br /> Plan Check Fee � . <br /> Occupant Load <br /> • � lbtal Fee Due S , ��� . <br /> ' Date Is'sued �1�S/' �' �Prinklers Required <br /> . <br /> . � . .. • . _ . <br />