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� �. ,. � , . � ' � , DUILDING PPRHIT APPLICATION ' ' /� (i �•'� ����
<br />• 1.pp11c�nt To • ''
<br />•• • j • • � ' Completc Tliis :orm i �I� .���, ';'T
<br />� •� Y° morc than onc buildinq is to be contructed, su6mit a separatc ���� /, y•
<br />.•� S:1.on Eor each 6uildin�. A e.�r�te Pcrmi applica-
<br />� n �. n � P" permit y�ill bc iasucd for eacli buildinq.
<br />• ; � O+mer c��V� ��1�i �`'14t; l�Q� � '
<br />, . � —�--�_�_ 8uilding Address . _��"7�,. �C `(�Q t t 4i'1 � :
<br />, � . JL3dre5a ��`� }���o o , \{�C �_ r �'�' �(.
<br />• � � i . � Lot ��'�—�_ Block '
<br />, CttY ( �� � 9110 �" Phon "� -, �
<br />' "—"------- � �' ` . `��� Subdibisi.n (Plat) c. - '
<br />_ ' = Ezchitc�t/Engineer � , � Cc.tJ .,
<br />\
<br />. :, ' :•I City \� Phonc — ' ��tCLT�.O • .
<br />' � � � Metes & Doun3s (Unplatted)
<br />� , :. .:�', Cantractl✓ �'� 1 1QSlC� �,-Q' ``jl�u9 nl� 41, � Sec. _
<br />• , j. 1 �P• Rq�
<br />- �'' _ �_� �.�,�1�0��, � u� ' �,Y, { '� � • . • •
<br />. p \ � :
<br />� �� � �� �tY �-. � �C(� 4 4 y P7tone� �j- � ( Huilding Use �
<br />�4� -
<br />.; . .. ' .� ".�•
<br />-' ; � � State. Licensc Ni:,�er �ti�,�_ =j•_ ���'1'j�'� Descri.bc Work to Be Done , `' 'r � •
<br />; �i Ezpir.ation Dat� � � _ / -��l i �
<br />. �� � � 0 �iY1ri1P►�n i% Rl•, .
<br />_ �� � � � , ' SRETCA PLOT PLA2I IIELOW' •
<br />r..�. . . - �v'�-�C�k.��� �QY-lM�/�A P.� _
<br />i Osc of IIuilding
<br />t� ; ' - - • . . •_. '
<br />� ' " � . ; '�Neti:� ❑ Addition Q Repair/Remo�el
<br />. . . .;� . .. . ' .
<br />` � ' ' • � • Valuation o£ Construction $ %
<br />�,,. - . � :. ' . • . _' I • ` l i'C
<br />� . : � . - .. , ... '. � • PIAT PT,Ai1 P.EQUIE2£}L.NTS � .
<br />. � . • •
<br />1 . . � . � • - -
<br />. . ' �� . � � � ' ' Indicatc lot �ize, nane of streets, .
<br />• . I • . •- �:,• '. _ . ' ' ` •indicate location and widt!� of
<br />. • +-'t , ' •_ • • • ': • - • : ' u21ey„ locate proposed a: d all
<br />_ ;d , __,a . � . ,•�=. ' Cxi�ting buildings, sho:u distaneea �
<br />' • '• �� • to nzoperty li es, show distanees
<br />,�, }: 9 • . • _ ' , . between buildings. _
<br />' ' ' . ' • ' ~ . _*.ot size ' . .
<br />. ..i. � . , , . ,. . x �
<br />• r. : . ' _ ' . - Lot arca S T•'t.
<br />. . '.s . � . �. • � Size of aldg. Sa. Ft. �
<br />. • ' :; , j. • . ' , Numbcr of Stories
<br />��• . " 8asement
<br />:' _ —
<br />;.� Signed Dy
<br />. _ . '. � Por
<br />. � -, � . � Owner Yhon �'
<br />,.. .. . DO NOT l�:Z?TE 9=LOh1 THI� L2;�^-FOR CITY USi OiII.'L �
<br />Da[e Seceived ' ' •
<br />• - - • — U�e Zo•.e
<br />' Plan C:uc;; yiu:Scr ' • ' '
<br />� £irc Zonc -
<br />� ,Yaluation _ ��'��� C� � � •
<br />• , Occuo�ncy Crou�
<br />Pemit rce ' - •
<br />� Type of Construction
<br />tlan Check Fcc Occupant Lo�d
<br />• � hbtal Fce Ouc '
<br />• • Sprinklcra Reryuired • '
<br />Datc Issucd � • . .
<br />. , . , . ., .
<br />. _ , . �
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