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..r�'_".._ _.. .. ...�..v..� .�u _UIIn / � /" / / �/ <br /> If more Lhan one building is to be contructed, subnit a separate permit applica- <br /> tion for each building. 1 separatr pezmit will b� issued for each building. <br /> � . <br /> Buildin Address ���"'� � <br /> Ovner � �'! � , n �^ / ��"'n7` 9 � t <br /> Address / C/ 3C> '��ri'/.' /% Lot ,�-,' Block � <br /> . � <br /> � o- �� - ; Subdivision (Plat) �F' �r%'n!%r /r'r /'T� � <br /> City r.�3 /� Phone 3��-�G.�. <br /> ` ✓'daz ' fP'i�•„-r�.' <br /> Architect/EngineeL �yj ��.ri�r�� �'/r/' r " �� «� <br /> 7 <br /> . City�''s,/-.-7>:� Phone �,� )�'.��"�' Metes 6 Bounds (Unplattedl <br /> Contractor al..%.: 'T�=.,���GTi��_ ° !/•�„•. Sec. 7Wp. Rge <br /> Address �!'� . f�c* • f" <br /> Cicy ('�;< i:,'.,';r'�• Phone �3i �.�3(l+' Building Use y;y-'_�ril'Fi.�;��[_ _ .. <br /> � State License Number '?^ =' l`� i�Y';'� Describe Work to Be Done �J.' , f"A��/[�Y ` <br /> � ' r-. -1 ,. / �^ .. <br /> Expiration Datr i� - !- -'� �� - <br /> SRETC}i PLOT PLi,:7 BELOW ' — <br /> � Use of Building �;/'�=' �%CF���/� _ t` <br /> . ❑New � Addition l�fxepair/Aemodel � <br /> � i—, .,n, / <br /> � Valuation of Construction $yiL �. <br /> • � � PIAT PLAN REQUIRx1.E�TS � <br /> . Indieate lot si�e, name of strcets, <br /> indicatc locatio^ and width of �F <br /> . i, <br /> . alleys, locatc oroposrd and �11. <br /> existing buildincs, show distances <br /> : �. . to property li�es, show distances <br /> � �� ' � betwecn buildings. <br /> � <br /> ���� Y _r,_"1 <br /> r.Ot 512E <br /> � Lot are3 ,l f��'�' - Sq. Ft. <br /> .. ' Sizc o: BLdgFs;'.�� ���� Sq. Ft. <br /> , ' •�� � Number o: Stories / <br /> -� Daser..er.t i� '�' — <br /> Signe:i 3. ( G,��,� ! _!�/ � :�,� �"` <br /> � <br /> : <br /> ?or -�r�1�L�-� �r, ✓ 1 � <s <br /> O�.�ncr P�one �l_.'+�_,�__ <br /> .� <br /> 1 <br /> {`L. ` ...L :C:Z l._ �: LJ: O.1L1 <br /> ��atc __ce-•:ed _ ' - `' `/` U:e ;caz 'Q_S �ua� �vz._n., ��:5. <br /> _ t : C"i=.:.. ..�-,��_ - F'iic' �O.-.0 �.J <br /> ��ia�•_ica� `� C7 F'(". r. OCCvoanC_ .;rOu� � <br /> Peznit Fee '�- 7 � �� Type of Construction �` n �_ <br /> ' i' - <br /> Plan Check Fee �(� � � �• / c� ? -_.-`Occupant Load <br /> �' Sprinklerc Required <br /> Total Fee Due �7 U� _ <br /> Da_/c� Issued • � <br /> �' � •/� V�Qr,V"j{w�� ���ZZ: Y`r <br /> \.�+.� � <br />