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czv.Y CIF lil�iRliT'P 111001I.T' NO. <br />I)XI'A-MVIENT -OF Co"ZIOIITY DEVELOPMENT <br />BUILDING1'GtU1XT APPLICATION PERMIT <br />PERMIT FEE I I55•, 7.__ <br />DATE J_f(- 7 S <br />ADDRESS OF CONSTUCTION 1401'.K 2 C _ UC KCQ -- <br />� <br />LEGAL DESCRIPTION: LOT ) 1. (1 I1LOCi; 2 2 PWT i2e PLAT of loy lm j-A2K ADA <br />_UNPLAT.TED DESCRIPPTION: <br />I(E140DEL <br />BUILDING DESCRIPTION: NEW ✓ ADDITION or REPAIR ' <br />OCCUPANCY OR USE 1�iLh7L_ I Q C HEIGHTS IN STORIES <br />IS THIS A CHANGE'. OF BUILDING OCCUPANCY: YES 110 <br />CONTRACTOR N /.�J 0 Cc•it t t_ __ OWNER �r-'SK R N Al u <br />MAILING MAILING <br />ADDRESS D r fig x 4S'" ADDRESS Dr <br />PHONE hUAIDER �4 L - A / PHONE NIMBER A I_ - o e C• 12 _ <br />CONTRACTOR'S LICENSE NU113112 2 L 3 <br />SIGNATURE�'��-� <br />NOTE: THE APPLICANT SlU.LL FILL IN ALL ADO%TE DLkir'S COMPIXT_ELY INCLI1DING THE PLOT PLAN <br />SKLTC:ll ON REAP. OF TVIS SHEET. VIE APPLICANT IS R spo,\SIBIX FOP. ALL INFO-MIATION WISICII <br />IS FUI:IISIIGD ON THE APPLICATION. ANY CHANGES I14 TOE-INFORN.1TIO12, PLOT PLevl OR BUILDING <br />PLANS SHALL BE SUI;I4TTTED TO TIUi INSPECTION DIVISI,TA FOli APPROVAL BEFORE BOCCE) NG <br />WITH THE CONSTRUCTION WORK. <br />APPRUV.IL: �///f.�i Go�xot� <br />I.. PId�NNING. / �R- PDATE <br />2. ENGINEERING// -- <br />TRAFFIC DIVISION, _ -- <br />WATER SERVICE Y. <br />S1:1d1ill SmVICE--'— <br />PUBLIC SERVICE SECTION 9 — <br />3. XNSPHC'P N 1)IiPARTH-O' <br />4. FIRE MARSHAT, <br />NOTE: All CONSTItUC7'IOid WORK SHALL COMPLY WITH APPLICABLE CODIiS, IdOTIiS ON lllNIiINCS, AND <br />INSPECTIONS <br />