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� <br />BJILDING PERMIT APPLICATION / `-� j /.,:;/ <br />Applicant To Complete This ^orm o <br />O ^- � <br />-' � <br />IL more than one buildinq is to be contructed, submit a separate permit appl C�� /- <br />tion for each building. A separate permit will be issued for each building. <br />Oimer .SAi_lir' �/[ /�C�,e'A�' Buildi.i� Address %Sc�i .��SaF'.�Q-z?� <br />So. L <- ' ,ji'�L s/ — <br />Address %i'�' S F�.4�i?n.-/)s',{� �-�/� Lot1�,+p �y�„y. .� Block % <br />City ��✓a'c'E: T Phone ��y »t Subdivision (Plat) � <br />��'—_ �{ <br />Architect/Engineer ,}}-�Ce.c«[�q_ ,�,1,�,,., .7t % <br />City Phone Metes s Dounds (Unplatted) <br />Contractor _�✓F�'�� �T /y�//LOF��S� Sec. 4tap. Rqe <br />Address S ��C'� !'i/r�Gl�� EnJ C�r� . <br />City '-{�VF��Ci7 Phone ��� 3-'7/6 J Buil3ing Use /�, c� �r�..,., � a� ' <br />State License Number <br />Expiration Date <br />SRETCl1 PLOT PLAN BELOW <br />Describe Work to Be Done E/TF-/V(J F`UL`�� <br />ti�.�. ��l �ii� - c;,i1 rc-�_>_ Ci•.;�%Sf�ars � <br />r <br />�,�C �L�•�'r= .Lf�u.' !/iJ�(�F %la����� s <br />Use of Building ti'-:,����i�.n � ' <br />C1New ❑ Addition �Repair/Remodel <br />Valuation of Construction $ �,7,/.�(�, �� <br />PIAT PI.AN REQUIREMENTS <br />Indicate lot size, name of streets, <br />indicatr_ location and width of <br />alleys, locate proposed and all <br />existing buildings,.show distances <br />to property lines, show distances <br />between bvildings. <br />Lot size x <br />Lot area Sq. Ft. <br />- Size of Blda. Sq. Ft. <br />Num6er of Sto�ies <br />baseaent <br />Signed By l�tt ��(d-�c�.+- <br />f or '�,1�.%� f�/[ �O[Ik'/L� <br />Owner Phone .g�,� 3 � ���L. / <br />�0 AIOT C:RI7: P,EI.OF7 T!?IS I,IV'L-POR CITY USE OIILY <br />Datc cce;c,_d <br />Plan C�ec�: `7umber <br />Valuation <br />Pemit Fee <br />Plan ChecF. Fec _ <br />Total Pee Due <br />Dal.o 7�su•;�; <br />U� e Zone <br />Fire Zonc <br />Occuoancy Group <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />CITY �� E`'�^�TT <br />;,^�Ro�,�-„ ; : , , - �• ��r <br />