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/�%3° <br />BUILDING PSRMIT APPLICATION _ <br />' • Applicant To Complete This Form /�/�/S <br />if more than one building is to be constructed, submit a separate permil ap- <br />plication for each buildi.ng: A separatc permit will be issued for each build- <br />inn. . , <br />owner IRA�iT'lOf�l���-- I-�biYIES <br />Address ' tt G• L�I�([� ���%<<C nP• <br />c�.= p.c'c z � 4 -3/ /� <br />City1^1��r�2F'rT Phone Z5Z-xc7/ <br />Architect � �••����= <br />City Phone <br />Contractor' l R- DiTtO ji�_/aL �� br���= i <br />Duilding Address 3�'�) ���e{ ="6CLL_��' <br />Lot 4 1� Blk• b- � Sec.__._ <br />�p, Rge._ <br />^ , <br />�,.. <br />Svbdivision (Plat) j�.1i� i�1%' �' <br />Metes & Doun�ic (Unplatted) <br />Address �1l C. 11iL�t7 ��DC.L �IZ, <br />Cityy 1%1^ �P �^ TT Yhone��_ Duilrling Use kL SIOI•:N►TU�L <br />State License Number'TR-i�0-1li��Z7�P�-Describe l4ork to Be Done MLI,U t{pp'it. <br />�xpiration Date ( b - Z2.-? � _ <br />NOT WI:ITE DIiLOI� <br />DaCe�Received � � -I � � - <br />�J� <br />Plun Cl�eck t�umbcr � `�' �_. <br />Valuut:ion 3f���{"L� ��' _ <br />� <br />Permi.t Pec (�J�� _-- <br />Plan Check Pee �J� �� ____ <br />To�,i r�� u�,.�`_t9=-� � �' ___— <br />PcrniiY. NuciLcr. ___ —.- <br />Uatc Issur.d <br />Cc�us; 12uc-r��_ — <br />Use of Buildi <br />_New Addition Repair/P.emodel <br />Valuation of Conslruction $ <br />PL01' PLA'.J <br />Indicate 1ot size, name of streets, <br />indicate location and width of <br />alleys, lccate proposed and all. <br />er.i.sting Uuildings, show distemces <br />to pr.operty lines, show disCances <br />bettveen bnildinqs. <br />Lot size S D•x 1� O <br />Lot area S.L. <br />Size of IIlc'g.,T1�14�_ S.F. <br />NmnUer of Stories y.. _ <br />Uasei._nt:���l 01JL" . <br />U,e 7.onc „Q•-/ _ y <br />Signed <br />Owner <br />5 LIP7li-POR CI7'Y USL' ONLY <br />Yirc 'Lone � � <br />Type of Construct-ioa � - I--t <br />Occupancy Gr.oup � <br />OccupanC Loaa__ <br />Spr.inl:lcrs itequired <br />APf'ROVED FO;t [3U�LpIWG P�RA-11T <br />o,,te!_ ,-=-----��v r � '� - <br />