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� ' '. � � ` .. . . I.� � � � T '_' <br /> __ • � , AOILDING PERHIT 11PPLICnTION . / � f�: •.. ' y . ,:,,,�, <br /> - " ; : ftpplicnnt To Complctc Tlii:, :orm l � . , ; <br /> , •• • ' IY norc than one buildinq is to bc contructed, subnit a c aratc /��/S <br /> s p permit applica- <br /> . � tion for cach buildin�. �\ separatr. permit will bc i:;sucd Lor cach building. <br /> . . " ' D.�ct �.� /.�!?',`i'LF'o Lfr+� Duildinq Addre�s /��/ ���.Gr��/Q�. <br /> ,' : ��,3 . �i . dox i�'r3 ' <br /> Lot_� nloc); <br /> City (�� Phonr,3��',�.?S3 Subdf�i�ion (Pla.) //�l • <br /> , ' • IIrchitect/Enginccr c�EL� • / /p/�l�/'T� : Ujd• /�/� f '—' • <br /> � ' :.i Cir. � <br /> _ •`i •=� Y Phonc f{etes L Dounds (Unplatted) <br /> . � ;,�: Contractor �.�1/� � ' Sec. 1Wp. Rgc � <br /> _ ..� . <br /> , ' `' Iv�idzes., �-- ' . . . <br /> .. �! City �— Phone Building Use �/�s(�/.,N� ����/ <br /> �/T ��-^a�%Y1Y�,7a;-�+. <br /> �ii .r" ' . � , . .. <br /> � � �'�:� � State Licensc Nc2:er Describe S4orl; to Bc Done ��J`�r <br /> , . . . ;1 F:zpiration Datz ' f�-/�L� /� � ���� <br /> �� ' �� • SRETCH PLOi PI.TQI i3EL0'.4' • ' <br /> : •• i • ' ... _ .. • . , ' . <br /> , : � Usc of Iluilding <br /> �.� : ��e� a.�'a���°� ���' <br /> _ , . . ... �2ic�a ❑ Ilddition �Repair/xcr„c�cl <br /> � ' �' _ � • . - 'Valuat-ion of Con�truction $'� m�� <br /> 'e . . . . . . . . � I . . <br /> '„' . . " . . .. , � .. . ' ` � . . P7AT PLA`7 3tECUI?2E:�lE:7T5 . . - <br /> � . � . <br /> , i ' ' " ' ' ' Indicatc lot sizc, nanc of �trcets, <br /> � • ' � ' � � � ` �indicatc location znd widthJof <br /> ' • 3 � ' : +� •� - �.. _ � alleys, lecate orocoseci ❑;.d all <br /> � ' :'� � _ �_ . � : . _ � � er.i�ting buildi.^.gs, she•.� dictances <br /> ' 'Q • ''- - to prcperty lines, show distances <br /> . , . , . . <br /> ,. ' �. � � � q . � , -. - . bet�:cen buildings. . <br /> . : . ' . . . . .. . . . . .. . . IAt Size x � . � . . . . <br /> � ; .•_. . � . � . - • � • . '. IAC. azca � Sq. Ft. <br /> . . �' r.. - . . , � ' � . Size ot ➢ldq. Sa. Ft. <br /> � . '. • � � Nwnbcr of Stories <br /> . • ' :: . j • . Dusement <br /> .^.. _ <br /> �� ' " . . � ' � . - . Signcd Dy ���iyr�.'r'"_ <br /> i- � . . - ror C! •� L C.._� <br /> .� � . _ . . ' O�a ' Phone „=� <br /> .. • . . DO N0:' Sti2IT5 9ELOi1 THIS LI77£-r'OR CITY USE OiIL'L - <br /> Date �eceived l 7 1� II�e• 2one , <br /> ' Plan Check :lur..ber ' ' Fire Zonc � ' <br /> � <br /> Valuation � �G� � Occuoancy Crou� <br /> � rem�t r�� 1 p_ m G . � <br /> `Pypc oE Con�truction .0 - � <br /> Plan Checl: Fce Occupant Load � <br /> . � Rbtal Fcc Duc �� `' <br /> ���� Sprinklcrs Rr_gu�,��i �F FVFRFTT � • . <br /> vaec �s_ucd _�' / 4�`Z� ' • APPROV[D f"QR BUILDING PERiv� i <br /> � � .. . � , . .. DaTt,e '� �'11 gy._���_��_. --- ' <br /> • _ ' - . . � � , . <br />