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. _ . _ . ._. �. .._ .__ . .0 <br />HUILDING PERMIT APPLICATION ` �� �.� <br />Applicant To Cemplete This ^orm � <br />If more than one building is to be contructed, submit a separate permit applica ////�/?� <br />tion for each-�6uildinq. A separate oe=mit will be issued for each building. ,l <br />Owner `�� � � � '�� " ' � . Building Address =� = i1� -� � �� � , ��".�� <br />— � <br />Address �-`-'-J Lo� �� Block r� <br />City >�����T Phone "' � Subdivision (Plat) �.��.�il �� <br />Architect%Engineer . <br />ii' <br />City P d�� <br />�i i <br />Contzactor _ <br />� % �, <br />Addzess <br />City Phone <br />State License Nwnber <br />Expiration Date <br />SKETCH PLOT PLI�N i3EL019 <br />V, 1{ ., <br />t4etes s Bounds (Unplatted) <br />Sec. 4wp. .--- Rge <br />� <br />�Building Use � ���� _ <br />Describe Work to De Done �--N�-.^-�i-��! . <br />-� <br />;� /�:i%� 1�a. —..-,:{�ii.•.C� <br />.�{f'��.,n.�i/%��� `��N./.C�.o�li -�-r _���» <br />i � �i j' . <br />Use of Buil?ino i.' ; ,�,�i�� , <br />❑ New ❑ Addition �IRepair/Remodel <br />. «. <br />7aluation of Construction $ ��[i8"'�9-- <br />DO NOT <br />Dcre "�cci'�:�t�� //'� <br />THIS <br />Plan C:'�ecx Vuntcr <br />Valuation � , ''ir� L� _ <br />4 <br />Pemit Fee J ('� _ <br />Plan Checl: Fee i�l�- <br />Total Pee Du^ � � �""�"� <br />Datc Isaue.l <br />PIAT PLl1N REQUIREIdENTS <br />Indicate lot size, nane of streets, <br />indicate location and :�idth cf <br />alleys, locatc proposed and �11 <br />existing buildings,.shoia d:star.cc� <br />to property lines, show discances <br />between buildings. <br />Lot size x_� �,-=�' <br />LOL area Sq. Ft. <br />Size of Blda. _ S9• Ft- <br />Number of Stories / <br />Basenent ir.� <br />Signed By > , <br />�� � ��, <br />For ' -' �.�� _ � `-� >-i�i <br />� Ow�er Phone <br />Sc O[iLY <br />U_e 7,one <br />� <br />Fire �one � � <br />Occuoeney Group Z-- <br />Type of Cor.struction ��" ���� <br />Occupant Load �v <br />� <br />Sprinkl�rs Reauired = <br />% .1 � q.k"- ' l� ^:-„`- i <br />s I <br />,. � ,, _ <br />„ <br />i <br />