Laserfiche WebLink
0 <br />:..I <br />- - "j <br />� <br />� <br />. ^j <br />ei <br />, ..'.i <br />.1: <br />. • .i <br />. . . . ., .s -- - <br />� 80ILDING PERMIT APPLICATION L�,: j__ <br />' . 1lpplicant To Complete This =orm /% > ,1'�_j <br />"i <br />if more lhan one buildinq is to be contructed, submit a separate permit applica 7� <br />tion for each b�ildin3. �1 separate permit will 6e issued for each building. <br />Ovner �yJ/ /;ill i•�uv e L Buf.ldinq Address <br />Eddress iJ/- /_ '� Lccv�-G L Lot Block • <br />City ^��.�.�_ Phone Subdi4ision (Plat) � <br />ltrctitect/Enqineer � � � . <br />City _ _phone _ Metes s IIounds (Unplatted) <br />Contractor , y1}-���ye�rr � 7�y.-vNi:.�eA'/ Sec. �� ' 7Wp. � �� Rge � �� .. <br />addre .s ` . <br />/3 e�s� /iiu-✓, . o.-t- . . � - �� �i , i ' <br />� <br />�:•y f' aa «7�_ Phone ?L1�"� - J� � S. Build inq Use '-. ,; .`�'. <br />Stute License Nur�er �;,1.5 -p/-����s- Desczibe Wozk to Be Done �'��.;-,.,�.f ����'� <br />Ez;;ira•wion Dat� •i - p/ — 7C f F,•ip%� �� /-J`C /-� . <br />, I . <br />J <br />;1 <br />a <br />. <br />-�... . � <br />� ' i . . <br />' .i <br />t <br />, '� ' <br />SRETCH PLOT PLAN BEL014� • <br />. .. .� : <br />� <br />Cse af Building <br />�New ❑ Addition J$� Repair/Remo::el <br />'Valuakion of Constructicn $�j�Q� �'�� <br />P.LOT PI.71N REQUIRE}fy:]TS <br />Indicate lot size, name of streets, <br />�indicate loca.ion and width of <br />� alleys, locate proposed a:.d all <br />existing buildi:gs, sho:v distances <br />to property lines, show distances <br />between buildings. <br />:.at size x <br />.Lot area Sq. Ft. <br />Si2e of Bldg. Sa. Ft. <br />Number of Stories <br />➢asement <br />�� <br />Signed By �///! �, /. i>, _j,� <br />For <br />Owner Phone <br />' DO NOT 6::2?TL H�LOF! THZS LI:1£-20R CITY USE OiiL7 <br />Da[e ��cCiVCd Uce 20rtr <br />Plan Check :7u.:.�er � ' Fire Zone ' <br />Yaluation Occuoancy Group _ <br />Pemit Fee 'Ij/pe of Constructiun <br />Plan Check Fee Occupant Load <br />,� Total Fee Due Sprinklcrs Required � <br />Datc Issued � � � . � _ <br />