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<br />IIIJILOII7G PCRMIT TPPI.ICf1TI0N � �/.j •,d)
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<br />•• ZP norc thin onc building is to bc contrur.tcd, submi.t n.^.eparat:c pcimil: applica-" � S
<br />� ., tion fpr cach 6uildinq. A sepai�cc permit will bc i:;:ucd 1:or cacl� bui].di.m�. .
<br />' � trrncr �'^�' � a'G��`y'�� DuilQing Acldre_a �
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<br />' City ��� Fhnnc ' .^,ubdivzsion (Plat) �e�.�,,u� �-�^'� �ti^-
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<br />_ _� :':i City Phone Id�tes L l:ouuds (Unplatted) :
<br />. � . :,'. Cant•zactor � .^,ec. � 9top. R9c _ �
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<br />'' •.' 1�drese r31'l � '�%�c"�-c� .
<br />. ', -.City _ Phonc llui.l3ing Usc ��7-w-� ��l/'1�'7.�'-�(,��
<br />-� ��'' � Stcte Liccnse tics.bcr Describe {7or1; to IIc Done ���'� �
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<br />• :. �I LY�iration Datz � � '
<br />. ��' '� , • SI:I:1'Clt PL'Oi PId.fl AELOhI' •
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<br />• . . : � . . . . . ' .. - . Dse ot. Duildir.g ' `
<br />_i• — • — _��__ , ; �t:ew ❑hddition ❑Rcpair/Remo::cl
<br />,� `���. � • ' ' . ; , . � '[Taluation oi Cor:�truction $ ��
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<br />' . ' ^ PLOT PLt�7 RL'QUI2I_�.;:TS , .
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<br />' ! • " D • . • • Ir.dic�te lot size, nar..e of: strcetr.,
<br />' � ' '� , .�/"� � • ' * ' •indicatc loc:ction ar.d .ri.d:h o:
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<br />• y ? • ...-. � o ; I � . = ' . . .Lu pzupc::y lines, cl:ow di�tnnec�
<br />� ; � - ' a r �C . I - bettaccn buildings.
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<br />• • ! . . . ' LoL• area Sq. PP..
<br />�.�; .. .:. ' �� Sizc of Dlriq. Sq. !'t.
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<br />'' PO ,70: 1•::i?T!: ?]'!.0:7 TIlIS 7.I:1E-PQit CSTY 1151< n;1T,7 ���_....
<br />. Dxtc S;�ccived � U:.e� 7.one _...
<br />' Plan C:icc1: :1ur.,bcr ' ' Fit•c 7.o�c '' �,.,_
<br />Valuation � Oca:innticy Crou�� _ _
<br />... • Pcinit: I'cc � ' � 7'ype uf. Con:�Crur.l icm
<br />Plan Cbec): Fce � Ocr,u��:•nt I�o�d • _.
<br />, ictal 1'rc� Dur. Bprinl:lbr^ R�:quirr.cl T___�_.�.�.-_.. ..
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