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. ' /. � .� .Y '•_ <br />, '1 ' " • ' IIf]ZLDLSC PI:Iit�IT ]1PPLICnTIOiS . . '/����>. ,: ^j <br />; . <br />- , :. . . : RnplicanL- To Co:�Ylr_Cc Tl�ia Form . �j���' ` . <br />. . �� <br />� ..' SPtaorc th�n onc Uuilding is to bc contruct•cd, submiC n❑eparatc pcinit- applica- " <br />�:Son for cacli builci't:g. �eparatc permit will Lc i:::ucd ior c�ch buil.diu9. <br />. � / � i �+ � <br />' ' 6mcr � !., ? ' % Duildin� A�dre�� y iJ �,.� <br />. , / ,. <br />' . � Pidres� � � %i �t..i/ .w-Lot• �., Dlock '`�i� <br />� '"2_...d!L�L. <br />. • City� i - Phonc � l,_�� �C•Sl� ivision (Plat� �� ' <br />� . � . � � � � . <br />� ' - &rchitcct/ingit:ecr � � �" ✓� ".� <br />� <br />'"� L'ity Phone Id�tes L Lo �ds (Unplatted) <br />- - 1 . <br />' �� Gr.itcactor � .^,ec. '�rP• ng� - <br />:� <br />, ._� . . <br />- . � l:dress . <br />-, � � <br />,. -' City Phonc lluilding O�e � • . � �C � . . : ;;._`:' . <br />�. j .. .� . � <br />�� '� Stzte Liccnse t7c.�ber Desc;�iLe S7ork to De Done <br />- i�� � � / 1- ` �� �'� � � . <br />� : : � 'I �.l,iration Dat� � M1�,/,�.L!���=bE-�-t�� - <br />!� � � <br />��; .. ' . SI:I:TCIi PLOT P7.id7 ?1rL0[�l� • . . , . <br />. � ' � ' IIse oi Duildir.g ' � <br />`. ' 1 ' .. • _ •' '_ . ' . .. . . � Ql:ew ❑ Addition ,�Repair/Rcmo:.cl <br />i \ <br />� • - . . •• C�aluatzon oL Construction `a <br />. : ;, . ' ' ' <br /><- ' . . . � 'PliJ'C PLIu7 REQUIR7:":;:i5 . <br />". . � � ' , •. • ` .Indicate lot sizr, nar..e of. strcet::. <br />� „ <br />. - �' ,� , � . • � . � 'zridicatc locatic.^. ar.c o:icth o� : <br />' t . �• .. � ... . . � allcy.. 'locate proposed ..r.d a'1 <br />' - � � • � ' � .exicting builcings. shc:u,di::t�;':ccc <br />.a .'. -.t.c� prc,per:y Lines, el-,ow �istancec; <br />�. - � -� � ...-. - .- : � . � bettJecn buildings. <br />; . q _ . <br />. • .. ' . S.ot �ite �X�,� (� -- <br />. , , ' . <br />� . . . . Lot- area __ Sq. PL. <br />. - ' � � � . : . � . �Sizc af isldg. ' _ Sa. Ft• <br />. <f.:. ' <br />� . . � llm�bc: of Etor�c, _ <br />Dasc:�ent <br />'.: . . . � �—. _ <br />r. � = <br />. - '. . , . , Si�ncd' IIy C � p^ � /�./''�-� + <br />�' <br />• • . 3,or • — <br />. . . . � ' . Ownei YJ�onc � . - <br />� • DU '7C1] f•::i?T: 9�L0?7 �TIiZS 7,I;Ii:-�OR CI7'Y i)1:i: O�1L7 � _ - <br />Datc `:cccived � . � � U:.e� 7.one � .-. <br />� .' Plan C:�rc}: :.wcbcr ' _ ' Firc 7.o�c 3 -_--.--. . <br />\'aluation � _ Occunnncy Grou� _ J . <br />1'ci:iit Pcc � __ � '1'y�ic of Conr.tructian JT - 1-1 • ___ <br />. Plan G�ccl: 1'cc --- �ccuj-�:�nC 7,oaA - <br />, Sntal Pcc buc ^___ --- SPrin1•lcr: 1;,'�71�Y���F �0'£12E1'i` . <br />. 1��t�� 5::::ucd �-.---.,;.__--- , � .aPPRO�yEt} FOR'f3UILDING PERMIT. <br />` ' • ' ' r 1� _ � ___.__ . <br />' ' , . ��.,,,:�/ � {_�''�.� _ t3;� f <br />. r.' <br />