Laserfiche WebLink
0 <br />, .' • <br />� ' • . ,. , , . � IIOIT.DZtiG PiAtSIT APPLICATION . . � �- .. •--� ..�� ` l. . VT� __. <br />, . , � � f:...t <br />� .� • . : )Ipplicant To Co,r,plctc This .orm . /C�. i�. <br />�-. . D �/6�7� <br />• 2f c.ore than one bailding ia to be co �tzucrcR, submit r. �eparate permit �pj�lica- <br />., Ylnn Eor each building. �1 separate permit will Le issued Lor eacti building. . <br />" • Orau � �. �,� e `, � i �'. 5c �� � �'_ Hulldir.q Address �¢���E� �F�l/.E'-5 � <br />; � ddCress -4;� `.1. S�<.�iS t . _ �t Alock ' <br />Ci '� �-�_Phonc�S� ��7��i SubfliVision (Plat) • <br />ty v��� - - — <br />' - lsehitcct/Engincer ' .Q%��i"��!-� ' ' ' <br />_ � 4 � :i Citg • Fhone Hetes & Dounds (Unplatted) ' � <br />� ;,�: Coatzactor cY>L�� C_ i��.C,��Snl� <br />...� . <br />'. . .' Ed3ress ?��( 451�' A�e' �v <br />� '�: City ��;e�etl Phonr_ .7�s5 ,� <br />.�; ... , <br />� � ���j �� Skate.License NL�er ,�� � O 1 ��� �i� <br />- :•'1 Ezpixation Dat� 6 C. ( h, 7(� <br />� ��' . - SRETCH PI�OT PL:QI BELO?V� • <br />_ .-j.:� - .• , <br />t`. �� . , � - • �%.� . • . ... .. <br />• .; . -�—. � <br />.' - „1 . <br />.� ��f' I . <br />r- � - - .: -,�, .� <br />v � ' � � <br />i ' . - . . :� 1 . <br />. - i I _ <br />. , '� . � � �� � , � t <br />_ • " . �b <br />;�. ...'.'-.-v ; . ' . .�."` - <br />. - : . " ,..: . <br />. � : . ' -• . . _ <br />. . '. . -�6� .. � � , ' <br />� � � .. <br />..�. 6 . , . <br />� <br />. . �.� r.. ' . . .. � . . . . . <br />• ' :: .i . � _ . <br />�f . - . <br />+� . <br />. j, . • � � <br />`T <br />�i7IT5 �ELOV THIS '. <br />_ _ Datc ��ccived ���(O�%5� _ <br />' Plan Chec;; :7ur_ber � S - � � ' <br />Valnatic:n ��Z� '��U �� <br />. • Pemit Fce % 3�1'- �'` _V <br />�C'> <br />tlan Cl�ecl: Fce Lo� • <br />.. � <br />, � IIbtal Pcc Due u��� � <br />Datc Issucd <br />e <br />See. Tap.� Rge <br />1 � <br />IIuil�lin4 Us - t e�.� c� cv� i�' '' ':q_s�: <br />Describe Work to Be Dane � '���.�~ <br />IIse of Auilding YeS1��c�nC �- <br />�t7eN ❑ 1lddition ❑ Repair,�Remo�cl <br />i' <br />4sluation o£ Constn:ction $ _ � <br />PIAT P7Jll7 REQUI}iL",SNTS . , <br />IIIdic-r_te lot s'_ze, na.ne of streets, <br />3ndicatc location ar.d widt:i of � <br />rnllcys, locatc p:�ocosed ..:d all <br />exi�ting builcings shc•.v�distances <br />to prcperty lines,�sY.ow distances <br />bet�aeca buildings. <br />S,ot: size x__ _ <br />�. Lot arca � Sq. Ft. <br />.Si2r_ o£ IIldg. i�<<�� Sa. Ft. <br />Hwabcr. of: Storics / <br />IIasc:nent � <br />Signed By �{ �Rn22L��" _� �v�e���--' <br />Por _, <br />P.tnc� Phone _ _ <br />CITY USF: 07L7- <br />Uce Zonc <br />Fire 7.one <br />2 _ <br />qccuvancy Grou� ��___ __ <br />-`Pype Af Ca.:�tructicn \/ - r--�- <br />Occupant Load . <br />Sprinklers RequiQed�- L� r r,- �,�i i . <br />' f�PpROVtD iGl� [3UILDING PERMII <br />.: • Ii,;te10���1 BY 1� C — <br />• . . . . <br />