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// ���� <br />�(.ti'�`-'y� �' C= �'t' .; � �.U(ti <br />�L� 1� � AFplicaat '1'o compiece �iais �ue��� <br />,`t /'1`�'u-M-�-t-f . . <br />• If no:�� than one buildin� is to be contructed, subnit a sepaxate permit applica- <br />tion for each 6uildinq. \=eparate permit •�ill 6e issucd `or �ach building. <br />Otimer ���1� Buildic Address �.1 ����� <br />� <br />� ���� .� <br />naare5s r�0 /— J l,� r.or_L sio�x <br />p C'F/ZT,F.c�� i:s-'/ �9lJ� <br />City �. % J � Phone�� J� �jd Subdivision (Pldi��'/"��iT.�/ ,7.�U�'f /J%i�' <br />Azchitect/Engineer � l�.'G�✓i / /,� <br />i L <br />City t_�� Phone M Q,? �gg�etes 6 Dou�d �(Unplattedl <br />Contractor Nv►vi"N G�4�'t �S1�Sec. '1R'p. Rge _ <br />Addre�s L�l/'•-c�!✓La1 P'%sb Qt/� <br />cicy�=,r�r7'z.G' Phone 36 �. S3o o IIuildinq Usc i��ii v ��T __ � <br />State License ftw�ber Descri6e kor's to Be Done /.2-�//C.�� � <br />E.:Piration Datc _ �._— _ AIEN) .ecST.OtIQ�O �t/T'- n/�ed/pc.� <br />SREiCli PLOT PLA:7 I?i:L09 ����" �' � <br />�� � <br />3 <br />2 <br />-- ?Z �O <br />v(. � <br />�6 p O <br />� ' � D D <br />�o D66 <br />�D 1 <br />. �� � <br />( �� � <br />�� �. <br />Use of [iuilding _� <br />�1ew ❑ Addition ❑ Repair/Pcr.ocel <br />Valuation of Construction 5 <br />PLOT PIJ�N RF.QUIR&�lE:7TS <br />Indieate lot size, name of street;, <br />ir.dicatc locaticr, and wi�th o` <br />alleys, lorate propo;ed a.^,d all. <br />existing buil3inqs, show dista^ces <br />to propert;� lines, show distancc� <br />between buildings. <br />Lat sizc / 21. S� r. �� % �i.i� <br />Lot are� �^_,3 � O� �q. Ft. �� <br />Sizc of 31dq. (�OxBtJ `Q• F�•�8o0 <br />::unbcr of Stcrias f _ <br />B�cccer.: �;{,��.�,����� <br />5igncd ➢y�QE�c-- -=�! .-__- <br />For �C� �� �J � ' <br />o.anez r: c:;c �4.�.r�.i �.9 � <br />��0 N0: i7Zi'iS 'rLC:7 SHIS LI:�E-''OR CITY U$: O:;LY <br />-,... ,---:..., �a dC� � �/ _ U:e �one __�i=7i <br />_._� _ -• - ---------q-- --- <br />P'.�n �..cc's �..r_-_ _��-��_6�------ Fire Z�nc �3 � <br />Valuation / �/�� ____ <br />Perr.iit !'cc 2�3�-- <br />— 4 3--- <br />Plan Checl: Fcc 1� 3"- <br />TCGal Fcc Dce __L�Co__�__.__ <br />c,,cc r�::uea -----__. _ _ _--_.___. <br />o�� „��,�y czo�� $3__ _ <br />Typc cf Constructian �_� ____ <br />occug�nc coaa _ � d _______ <br />Sprinklers Rcquircd __.��___ ___ <br />CITY OF NER�TT <br />APPROVED FO^ BUII_C;h:G� �[RD.ili <br />Date� i�—GY--->1=---- <br />