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llUILUING PLRI4IT APPLICATION � � ' - <br /> Applicant 'Po Completc This Form _ <br /> �� i ,� <br /> If more than one building is to be conctructed, cubmit a ceparate permit ap- <br /> plication f.or each buildiny. A separate permit will be iEsucd fot each build- <br /> i.ny. <br /> / <br /> Owner %����3� IIuilding Address .y �J ��"-"� �"'r'�'_ <br /> r'v <br /> Address �� / .1�� l�i, � .��-' �C-�t.-_ . Lot J�'��/7IIlk. �{,�(- Sec.i�.:�?-,��r��-��. <br /> �, . <br /> City�-. ,.: 7� Phone Twy. Rge.__ <br /> Architect �-� / / ('Cl�. Subdivieion (Ylat) <br /> City Phone Metes 6 Dounds (Unplatted) <br /> ' Contractor1 � .L6 ( n : ; �.J f <br /> AddresF� . � L.���".�— _ <br /> City��.y����I.�cL Phone �•51 -�77 � Building Use ���.L � _ <br /> Stale License Number�'}j,��-rtri7'//�i�/1117DescriUe t9orY, le Be Done e .r. -i. ' <br /> . . "� ��Cil .t�� �:�,< < �'��j_.'Y ".e�-� <br /> lxpitatiai Date �i� - / J � /u <br /> . , —� , <br /> � Use of Buildina <br /> � .. iaew . Addition �3epair/Feriodcl <br /> � C� <br /> � Valuation of Construction $'�(�L�, <br /> PLOT PLAN <br /> � . Indicate lot sizc, narue of strecte, <br /> indicatc location and width of <br /> alleyc, locate proposec] and al.] <br /> existiny Uuildin9s, chow distances <br /> to prop�rty lines, show distances <br /> . � beto�een builuinqs. <br /> Lot size x <br /> I:ot area S.F'. <br /> &izc of Hldg. _S.F. <br /> t:umber of Stories <br /> lta�crnent <br /> Use Zone <br /> ' Signed lly ;'�/I'-F- '--'r �--f_CI(-�._- <br /> / <br /> • ror <br /> O�mer <br /> DO WOT 47RITL I3li7,OW TIll:S LINL•'-FOR CITY USP. 017LY <br /> Uatc�Received / /` 7'��. Fire 2one _ <br /> Plan Check I7umbe � -- ' Type of Constructicn <br /> ValuaLion ( C((')(';. 4'S' _ Occupancy Group <br /> PeLmit Pee � �� ����--' Occupant Load _ . <br /> � Plan Ched: Pee_ —� Sprin]:ler, P.equi.rod <br /> Pntal I'ee Due �f <br /> [9 `' <br /> Pcnuit ldumbcr <br /> ll.Ce l:;su�.-�d!_1^�.—�.�_)—__--.— <br /> ArPr,o��e!) rpr eur,_��ir;c r�cat,sir <br /> 2,t�.-- -. �.v ----- <br />