Laserfiche WebLink
�• <br /> crr�; c:� �;v�•��r.s�.� rLr.:�zT h�o. �,���.�� � c <br /> i�r��n, �r�•i�;:,,�r or ce�;�iu;:1�;��• Davt;r.OP]fEciT <br /> IIL77,DII<G PI:i51f1' APi'LI'_:�,TIO.. VAI,U;�.TIO'v . �U <br /> � <br /> �> ` PEI::�IIi £EE a�� �-�� <br /> . <br /> DATP' �,�.h� i� _ ` '�,y� — <br /> � — , <br /> ADLRESS CSP CONSTRI�CTION ;�70Ri: �-• �,c� �i �°' � �✓G �=1 L/{� <br /> LF:GAL DESCP.IPTIO\: I,UT �"' X �'1^ DLOCri G� c.' �.� PLt1T �':-- '� i`� <br /> ONPLATT�D Dl�CRIf'iIJ:J <br /> BUILDING DESCRIPT20:;: :�E�ti ' ADCIi20:1 _�_ R�I•SOUBL <br /> OR REPAZR <br /> tt OP UNITS OCC�':+::Ci OP. :i£i; STORIES <br /> IS TiiIS A CHADIGE OF BUILDING OC�.UPANCY: YES NO <br /> CONTRACTOR OT•INER <br /> t•1�liLI\G ELIILIIvG <br /> ADDF2ESS ADpRESS <br /> PHONE I�UI�IBER PfJ0:1E NU:•±RER <br /> CONTRACTOR' S LICENSE i:tJ:•iBER <br /> r – <br /> SIGNATIIRE � �/r . nC i j;i..ri,' •. <br /> �, ' ' <br /> NOTE: THE APPLICA\T�'St?ALL FILL I.. iaLL�ABOVE BLAi:i:S C0:•iPL�TELY IP:CLL'DI^:G <br /> 7'Iili PLOT PLF,:: S�E^_C:i i:: R'hR G? ^'ciIS SIirrm 7�IIE c`�?PLICA??T IS RESPO[QSI'3LE <br /> P012 n?,L I.:?'OR__,TIO_� :..;_C?i IS rrTi:iT_SH:D O:Q Tt�E AYPLICieTI0I1. ni1Y Ciirli:G:,3 <br /> IN THE Ii2i�OR:'uliIO^;, PLOT PI.�iQ OR BUILDI\G PLANS SHALL BE SUIIi4ITTED TO T:i:: <br /> IidBPt'.CTION DI;'IS20:� SOi2 e1PC`Ri Vr?T_. BE'r'GRE PP.00EEDI?:G F7ITH THE CO STRuCT20:d <br /> WORR. �' <br /> Al`PROVAL: <br /> � <br /> 1. PLANNING ,�,y;' DriTE `J–'/�� j� <br /> 2. SNGIi4Ei:I:li:G <br /> TRi�l'PIC DI1%I:>>0't: <br /> F;A19i:: S�RVIC� — <br /> SEF:ER SERVIC� <br /> PUllLIC SERVICB SBCTIO�I <br /> , . TKSP&CTIOt. DEPAIiT:dEi]T � <br /> 4 . I'II:E t•ii11�:SkIAL . <br /> NO'1't': ALL CC;::;':':i:CY"..C:: ;';Ci::: . _ ..._� CO'/�i'Li' �121'❑ i�.:'i'T�ICnA:�P. CO.^.:iS � I'C^;'.:: <br /> �� _ . <br /> 0:7 I�;:',P;T.. .,. ..,.n .... .. ......._ .. <br /> .... , . . .. 1.,... ,.� . ..�1:::; <br />