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<br /> • ; � " ' ' DUILDII:G PI:R4fIT nrrLICATIOW � . � � � C � �� �. ,C�j
<br /> -. .. , . , , Fipplic�nt To Co:nplcCc Thi� 9o[m . � �� � �
<br /> .. . ; . , � �/v:�;�;-
<br /> • • ' TP uorc than onc Uuildinq is to bc conl•rur,Led, st:bmit n ^ep�ratc pcimit applic�-
<br /> ' . . L`Son for cach b�ildit:7. .1 separ:�tc ycnnit will bc i�:ucd J:or cacl� bui7Qiny. ,
<br /> . " � trmcY �I�I�� ^,1�� � ;� � . �(,�r'r�", lluilding Addres�
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<br /> ' . Pddres� ;S � �1�-Ll �(,��3 �_ �)�,,� Lot• S � � IIlocl:
<br /> City I%��i�t i� Phonc GL-�1 �: � � 'i Sut�clivzsion (P1at7 :�a, GEr�i�,.,�v��.! :
<br /> � + • �-- 1 1 L � ' � 1'
<br /> - l.rchitec:/Eng:nccr ' � qt��.� L (�^rfT .
<br /> ' :..I , , ,
<br /> _ _ ._i City Phone .Id�tes L Lounds (tTnplatted) �
<br /> . � . ;,'. Cont-ractor ' _ .Sca. � Tc�. Rge � � ..
<br /> � � / . — .
<br /> . , .�ddres.. • ,
<br /> - • �
<br /> ' City _ Phone _ Dui.lding Usc �\t��;'+ "i,% . .
<br /> �� , . .
<br /> � _ �'�:� �- Stzte I,icense tic.-iber Describe 17orY, to De -Done � �� '--
<br /> . � I I.
<br /> � : � �i L'rPiration nat� l Yoot ,j�.;z. C„-� i,t�d ^�'T w�� �ny,�J ���.p,"'
<br /> . �~ ' . . ' . SSS't'Cti PLOi PI.1JI AEL�i9• • . '
<br /> ' "� . . . � !. .
<br /> ' ' . :.1 . _ . ., ase of nuild'zcg
<br /> L � � . . .:,��,��,,��,i'!",�,-„J._ � , : � ❑Neta � ❑ hddi.tion ❑ Rcpair/Ruao�cl
<br /> .. . . �'.S:�Z, S�Y1G'+i".,.�il,. '.,'^,.`� 'C�aluation o£ Const-ructiwi S �I �'�.. �' � . .
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<br /> ! � • ' . , :�PT.OT PLn4 RiQUI�":;:Tu ..
<br /> �. . '. .i .� � 3^l:/��.� tJ d'�;•.���:t�• ' �Indicate lot rdze, nar..e �f �trcet.^„
<br /> � • � ' � � •indica�c locat�ion �ar.d ::icth o�
<br /> � � � .. i�� �S � .D . �✓ I�v,'�/- ��U ��i;,,� allcy�s, •locn�c aroposed ..r.d all � .
<br /> .. ' ., , . ...' . i— �. _ . .; "1� . � � Y:� . .cr,icti-ug :uilci:gc., s:�c•:i,di^;:a^ces '
<br /> � `+�--'--" ' J- � .Lu pzopc:tp lines, show distancc�
<br /> - ; . q !>� � ,. %,� ' - bct�recn builuings.
<br /> ' ; . _ :- . .
<br /> ... 'vy t�� . • � Z�ot size x —
<br /> ' t - � � � j����� _ � 7,ot area� sy. rL-.
<br /> � - . � � . �Si7.e of l3ldg. . Sn. L't.
<br /> � ' ; • • � Iiwabc: oi Stor:es
<br /> . '.: - . ' � - Ba:ac:nent
<br /> `�.'� -- '. Si�ncd IIY ,4.���f��+.i..�'��j�ff/�1-Cr
<br /> . �'_ . � � . • � � � k'or . '
<br /> . . ' � � . . . � . _ Ot�ncr 1'hw�c _�`.FL .��A
<br /> . no ��o: s;z*;; s-r.osa .�izs i,i;�;:-�oz cz��}• ,�s;; o,rr.t
<br /> bat.c Secci�•cd � � U:.e� 7.one �
<br /> � ' Flan C:�r_c1; :7ut.bc_ ' ' Fi1-r 7,onc � "
<br /> Valuation � � Occtronncy Group � ___ '
<br /> l'c::iili 1'cc �___ � � � 7'ypc of Con:;Li�ucLion �_
<br /> 1`l;,n Cl�ec1: Pce __ _^ Oceup:mt I,o��l Y, __
<br /> . S�.:t.l T'cr Uuc _!^v ` Sl`rin]:lcra 12��Ruirr.d '� ' -'_ .
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<br /> ll�lC 1':oucd ________._.._ . ' � � . , ' .
<br /> � ' ' . , . ' , , . . . .. , . . , ' , ' ,- - •
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