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v . . <br /> - CI1"i 0" 1:V:.R�TT PL•:IL�SIT N0. .3 �d <br /> . DEI'j\I?TPiP..27' OP CODI;iUiIITY DLVFT,OPh1EI4T ^?d 7}l <br /> BUILUII:G PliRidI7' i+PPLSCi.TIOi. VALUAT702d �C/�• — <br /> v YEIL�72T PLE <br /> D7�TE p — � �" 7t� <br /> ADDRESS OP,CONSTRUCTZON WORK ��/o�Y iv�7�i'yEJ r <br /> LEGAL D�SCRIPTION: LOT ,3j .3 2 BLOCK y y 2 PLAT ���,�/f lJ�v R <br /> UNPLATTED DESCRIPTION <br /> � �� ��.. <br /> BUILDING D�SCRIPTION: NEt9 _ ADDITION OR REPAIR hOoP <br /> � OF UNITS OCCUPANCY OR USE STORIES / <br /> IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO L� <br /> CONTRIICTOR ��yR Nc.v� -�'.Hu:cvea�rtil OWNER �/65 DL� a C �/�v.�5 Q�t'-- <br /> MAILI\G ' b1AIiING <br /> ADDRL'SS / 3rrM,✓.Ji :c,s' ADDRESS ��02 /,vGJ��it• •� <br /> PAONE NUtIBER �a s3- 9� r r PHONE NUMBER <br /> CONTRACTOR' S LICENSE NUI•1BFR d 23 — o/ — 9Ce G ` r <br /> SIGNATURE � �� " n ` � �� <br /> NOTE: THE APPLICAtdT SHALL FILL IH kLL ABOVE F3Lnt�RS COMPLETELY IIdCLUDItiG <br /> THE PLOT PLAN Sf:ETC:i 0\ Ri:AR OF THIS 51i�ST. TIIE APPLICA2?T IS RESPONSIBLE <br /> FOR ALL INFOPu•LATION 4::IICIi IS FURNISHED ON THE AYPLICATION. ANY Ciielt�GES <br /> IN TAL•' INFORf•iATI024, PLOT PLAN OR BUILDING PLANS SHALL BE SUIIMITTL''D TO TiiB <br /> INSP�CTIOi7 DIVISIOi4 FOR APPROVAL F��FORE PROCE�DI\G FIITH THE CONSTY.UCTION <br /> WORK. <br /> APPROVAL: <br /> 1. PLANNING DATE <br /> 2. ENGIidF•.EP.ING <br /> TRI�rrIC DIVISZOI� <br /> PTATLR S�I2VICE <br /> SE�4ER SF.RVICE <br /> PUIILIC SliRVICE SEC'PION <br /> .'.. INSPECTION DL•'PAI2TP113NT _ ' <br /> 4 . FIFI: D'ul]:SllAL <br /> r0'Pii: AI,T, CONST[:UC7'IO;; F;O::?: SIIALL CO)iPLY S9ITIl ntYI,ICAi�LE CODI:S, I10TI;S <br /> 0!1 ui:,,ti•�racs, T,.�an 7�a:;t��:crio��s <br />