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� <br />— . : .._.Ji <br />�� ' � ' DOZLDING PLRMIT APPLICATION � � ' ' : /.� �� 7 , <br />, � �pplicant To Complete This :orm ., <br />JS more than one buildinq is to be contructed, submit a se arate ��/3/ }• <br />tion for each 6uildin A se arate P Permit applica- <br />4• p permit will bc issued for each Guilding. <br />a°� __�� �l � 7;+� 1 n� � Buildinq Address �? 10 �f (�!� l�l'�{�' ' <br />addresa a�o �_ �,� /N��r �- �o. y:2 /ot y <br />Loc o u ��„ s- 91ocx �-/ G S � <br />CSty ���: v_ C-f( phoneaJl -��3 37 Subdivision (Plat) ����i n� • <br />. Jlichitect/Engineer �- _ F n I c n n P r� ,1J I 1 �/� . <br />. : � -- <br />_ _ :� City � Netes i Hounds (Unplatted) <br />, :, Contractor -%mr,t r�s4,�{yy� ���.;�z I,u�Sec. 1Wp. Rqe . <br />_ " MdressbYlo- .'L(Z SuJ. . ' ' . <br />_ ': C1ty �N N W +;. .� Phone %76 � /�`% Buildinq Use fj� `� � � <br />`t . .. _ — � `��:i:. <br />�� btate Lice.nse Number �- a so � 3��.� x5�r1�� S?ork to Se none `�` � <br />� : .�I E=pfration Dat� — <br />��' �y . • SRETCH PLOT PLAN SELOW' • <br />_' • .1 . . <br />� ' . <br />. . <br />�. � <br />: . <br />• � <br />. '� <br />. , ( - <br />. -i �� <br />0 <br />' � . <br />\�/?2.� �".Q,.. . <br />T��2 �t'l� - <br />Dae of Building �e � ' <br />�Nev ❑ Addition ❑ Repair/Remouel . <br />Valuation of Construction $ /cP� � ' <br />. . PLOT PLAN REQUIREt•IENTS S`-'�' /�M,1'� <br />Iadicate lot size, name of streets, <br />' � �indicate location and wid:h of <br />� . ' alleys, locate pr000sed and all � � <br />� � � existing buildings, s;how distances <br />•' �'' '�• to property lines, stiow distances <br />_ ' � between buildings. . <br />Lot size x <br />Lot area Sq, Ft. <br />Size of Bldq. Sq. Ft. <br />Namber of Storzes <br />Hasement <br />Signed By <br />/�/ « �,.. For <br />/%LO � �/ Q � �f P C / � � �-�� Owner Phone <br />/ <br />DO :IOT SCZITS B=LOF7 THIS LZ:IE-FOR CITY USz Oi7LY <br />Date Seceived �� �` S^ � Ute Zone � <br />Plan N�eck :Jur.,ber <br />Valuation � � %, Q � <br />Pemit Fee -�j �d <br />Plan Check Fee `� <br />� 1bta1 Fee Due C, ��� <br />Daic Issued � i� � <br />Fire 2one <br />Occuoancy Grou� <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />• <br />