Laserfiche WebLink
. ' �. <br />.� � r.uzr.n�i�c rriu�t�i' i1PPL7CA�rroi� � '`i �. �- 7,l <br />� Ap�i].icanL• 'Co Com��]eL•c 7`hi.r; I'or.m ' �9j% <br />:if r�nre t:han one bui.7.ding ir��to bc con,i:ructed, i;ul�miL ,i reptu-nLc ��crmi.L•/y�{ <br />.:pp1:c�Lion f.or. each builclinq. A;epnr.�iCe pc�'mi.0 wil.l. be ic:.ucd fo�' ench <br />U .1,. <br />u�. c.ing. /� <br />OYmcr _��`�C'j�/�ii',� C'-'��,(" �.� <br />Rddre•;;s � � 7� <br />_ l'�l`�' , <br />cs.tv �C � T r�,o„�,,,Y�L�t�-,� <br />nr.chi�ect/]i;.ginccr <br />Cit}• __�_ l�honc <br />Conirzclor '�y� ��C����i,�lj�; ' <br />�,���._�, �� y�� �i.� �• ��� <br />CitY ��f�� Phonc J%� �� <br />Sta�e Lice;�si� t;iimber ���C7 �b,�j <br />P>:Fiir=t.ion i>atc % " �--%�� <br />co,�:,__. rLc� ,�;.�,?, o:i ,....,:.�r sin; <br />IIu:ildincJ Add�-r_ss _�n� <br />�,ot _��> >��.o�r ,—,�2�— <br />Subd.iv.i.si.on (1?.lni:) �? /(f�x/ <br />�D�lfDiti� t/�_''_ <br />h;eLrs c< liound; (linplt�CLe<l) � <br />Sec <br />Tte1�• __ ]tgc. <br />Dui ].ding Usc %' J_�j�i ��� <br />Describe Ylor1: Co 73e Donc <br />�i7�tL � � �ih�» <br />. � l'.,�� /P.v�l� �';� ���i <br />Number of SLori.es Z— <br />]3asement- ' <br />y�__._ <br />., her: Add.iti.on Repa;.r./l:c;nocicl' <br />\�alu on oi Conr..trucLion $ <br />\� �/ l� '?� � ' <br />\'� �Si.gncd 13Y � � <br />. 1'oL ? t� L £ ! �� . <br />O�:�ner. Phone �_ �li�-}�� <br />ll0 1'ot T;.ri.ic Pclota'i'hi..^, 7,i.nc•1'or Cit:y 17::c: pnly-- <br />I):3LC }:CC(Ll!�L`C� ^ <br />IF].�n C,icc1; lluml�cr <br />Valu�:i.on <br />Tcrr.;it ]'ce <br />PJ.an Check Fcc <br />Total Pcc llitc <br />I)�it:c Ts:cucd <br />• USC iO11C <br />Firc 7,onc <br />Occtipancy �Grot�i� <br />T,�pc or con,t.i:ucLion <br />occul�an;: r,o<�a <br />Spri.nl:lcr: Rcc�uircd <br />/ <br />