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<br /> ' � lOILDING FERMIT APPLICATION ��'
<br /> )pplicant To Complete This :orm � ��
<br /> r ' . •.. ��'.�
<br /> • � Y bs� thatt one buildinq .ts to be contructed, submit a separate '����� �i�
<br /> ' _ •• % tlCo ior •}ch buildinq. T. e arate P�=mit a' �i'" s f '
<br /> � / • p Pe='+�it will bc issued for each building,
<br /> '' pp ica-
<br /> . .. � "aveer f� D�� ;,cC 7' •'-•
<br /> , a ' � � '�"�-' �La�_ Dnildinq Addresa �i„�/��_ �( '
<br /> • s �Ctss y�J i `.� ♦ � .. � ��I PY'"i��; :. ? �.-•...
<br /> . ; �.�c�o�=- �r, ��� Loe ZG �L�—�1..
<br /> � � - �_ slock
<br /> � .�• • i �� ����� IIhone ' subdivision (Plat)
<br /> _ ` � . ' �e+ehlteet/enqinecr �--�_..._ �� � r- ' .
<br /> . ,.:. �:� . / � �' �-.>P r� 1 �
<br /> " ? �. ':"j �� � Phone ` - � [�(etea i Hounds (Unplatted) • . �
<br /> • :�' Cantsaetor ��i �t" r�?/y., ,.
<br /> ^. -�''�� _.�LEslfi / u-C.—� � r ,^[�jy. See. �.: �e � ' .
<br /> '- L. V /a- : ,�
<br /> � .
<br /> � �� ���yO2 Phone� .� 3,3� �ildin •
<br /> i..`.. .•`4� ftit!� 4 IIse . . ' s. .
<br /> : �
<br /> •y� ,License N�anber . . • , . r�.• <.
<br /> � : ... , _ . ..,�,.;.,.
<br /> •' Work to Be Done -''".:"
<br /> : ',�,I �uakioa Datz
<br /> y1 i .�1 •
<br /> �•/ �, p � y,��
<br /> ' /�TCH PLOT PL1N HEIAT4' � f y� �/
<br /> • '• ;� , •. , • _ . "
<br /> � . . .
<br /> , . . � . Qsa Of Bu3ldi.aq }
<br /> '; ' ''.•:•� ' ' • . .' r,� ' ... . . .: �Nev ❑ 1lddition
<br /> - . E • . . . i' �Repair/Remode
<br /> � ' ' ' - ' • • •Valnation of Ccnstruction $ `��� ,
<br /> i � • . . ,
<br /> �.. . .. •` . . � . . .
<br /> •• . • . - ' PLOT PLAN �
<br /> � • . ; � REQUIREMENTS
<br /> � . •,.�: .. : : l.. . . . � . • • , ; e .
<br /> � '' • ' � " ' � � Indicate lot size, nazne of streets, ' �
<br /> � ' " ,! � � � ' indicate location and width of
<br /> '' f"� � �•'. ' ' � � ' alleys, locate
<br /> pr000sed and all
<br /> - 3.'.•� ' ..!n� •'=•-..r : ' •M1^';y .'. ' axisting buildinqs, show distances �
<br /> : .. i � • . � • � to property lines, show distances
<br /> . _. • between buildings.
<br /> � ' '� ` ' Eot size .
<br /> . ..i� � s � , � . .. - _�,�C . '.
<br /> � , •� • ' bot area
<br /> ,' �. . • . , Size of Bl q. �I. Ft.
<br /> . ! �. . .. •
<br /> :: . �' . • • . Dtumber of Storie�— Sq' Ft.
<br /> '�,.:._- • • . 8asement
<br /> � .
<br /> -� •�. . . . .
<br /> - i, : . . Signed ey �i '�y
<br /> . � . . _ _
<br /> . . • ' . . . . ror . .
<br /> . , : , . � � .. , Owner Phone
<br /> ' . - � '� DO NO'; SC:iLTS H=�H1: LI:IE-r^OR CITY USE OtJL'f . . . � . � �'��'
<br /> �"' —• Date Received • • �
<br /> " ' Dte Zone �
<br /> � . llaa•Cheek :turbez � ' � •
<br /> Fire 2one .
<br /> „ � �V/iDiLSOD � � � - . �
<br /> ' • Occuoancy Grou� •
<br /> tenoit Fee
<br /> • ' ""'�- Type of Construction
<br /> ' tLn Check Tee • �
<br /> . ---_�_ Occupant' Load
<br /> • .� . ibtal Fee Due • • �
<br /> ' . .: ' —��. Sprinklers Required
<br /> Date Issucd ' .. , . .
<br /> • ,. . , ,
<br /> , • . •.' , � , . � . . . , .
<br /> . . . . •',., . .
<br /> . . • , . . , • . . . . . . . . . �
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