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hppiic�-.c 'i� ic-,pi��e i:.i�, :��,�,� / � � `//��/% <br />If more than one bui!ding is to he ccntrueted, st:bc�it a scparatc perut �pplica- �� <br />t.ion for cach huildinq. n separar.c permit vill tc issucd `cr c,�ch 6uiiQing. � <br />� _1 ' (' ✓ � �/,� <br />��r 1� Bvilciir,q Address . � �� � <br />Addzess Lot .:z l r L Z Bl.ock ,� �% � <br />City Phone �_ Subdivision (Plat) � % �Yl <br />Azchitect/Engineer C � <br />City Phone <br />� , <br />Contractor <br />/+ � ��� <br />Address 7 •-C__ <br />City � . . : " Phone ,,,� � � ;»%� <br />Statc License Nuciber % ZJ' /J i-i^ �.� <br />Expiration Datc � - / - J .� _ <br />SRETCH PLOT PI.A`] IIEi^:J <br />DO :;f1T h;n1T� �':t"J :HIS <br />_ . `� =� • - � � �_ ��� <br />� <br />;�. � :'1 �..:�C�r �il:� -- _ ___' <br />Valuation �� � �� � <br />Pemit Fcc _ __ <br />P1::n Checi: Pec <br />irt.al ce�� Cl:^_ <br />,�.,� _. ? ..�,.,,3 - --- _ ____. <br />Metes s Bcund� (Gnplatted) <br />Sec.�_ 'Pap•� RYe �._— <br />Building Use ICPS� __ <br />Describe 'loric to Be Donc e 4 NS 2/'� <br />��.1� 570�-/,�08S�f- Zz� <br />Use of IIuilding S 1 I� <br />❑t7ew ❑ Addition ❑ Acpair/Rencd� <br />Valua,tion of Constzuction S�Q��_ <br />PLOT PI11t7 REQUIHL'�iL:7Tf'i <br />Indicate lot sise, name of streets, <br />in9icate locaticn and widt!: of <br />allcys, locatc proFosed ar,d a11 <br />existing Luildi�qs, �now distar.ces <br />to property lines show distana--s <br />Le'_�,•ecn buildings. <br />Lof: size x__ <br />Lot. area Sq. Ft. <br />Size of Bldg. �a. Ft. <br />Sur,ber of Stor.es <br />eacc-e :: <br />. <br />'`igncd By ����1.� - <br />Po: Y (/ --. . <br />� Ouncr Pnone _,_-.—_, <br />CiTY USZ <br />Uce �er,e <br />Fire 'aone <br />Occunan:y Group <br />Typc c: Con�truction _ <br />Occup�nt Lcad _ <br />Sprinklcrs Rcquired , <br />CITY OF [VEREFT <br />APPRUVED FO^ �UIL�ii�!C� PER^91i <br />DdiS'_-_'___--- !'y _"' _ "_'__—' ' __.. <br />