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' <br />s <br />. _ <br />STJZLDIIJG Pr'.PJiIT APPLZCATIOA <br />Applicant 'ro Complete This Form c - ;•, <br />r <br />I° mere than one building is to be contructed, submit n separate Permit applica- ' <br />tiOn for each building. A separate <br />permit <br />will be issued fo�r./}c�nctt Lu i.ld s,nn,. <br />(*.atr _ L <br />Building Address � W6 MMIL... <br />. <br />A3dre <br />I .-._ <br />Lot 2 25 Block <br />tti�.it/ <br />C7�j•�` 1 :'lion; w <br />Subdivision (Plat)�l� <br />�y',q{ <br />city �p�/�r/� Phc.^ <br />Hctcs G Bounds Un tatted) <br />Cpstractor <br />-- - <br />Sec. Tap, P.ge <br />%• •' <br />TP.3ress <br />_ <br />!. <br />City -- Phone <br />Building Use�7' <br />�.� <br />Stste.License Nwaber <br />Describe Work, to Be Dohe <br />.1 <br />iiPiration Datb .`- <br />GTgi r1�lz�• �� � _ �M' . <br />—4i-��-�J-� •1�9 <br />$}__F'lCli PLOT PWol BELOW, <br />Usc of Building ENT E. <br />� <br />.. -. - • ' <br />KNOW ❑ Additir•n ❑);,.�.airj7:o;;c,::cl <br />DO so^ 1'::=7 <br />.. _ Bata ReCC-il'ed <br />I�S <br />7S =3 <br />1 7vition <br />is-r Sfi�j, V` 0 <br />�Fe:-ii.t <br />Uh •1 Plan C114_c:1c <br />r;:e Z'?�Co• $ �$ <br />�. 2eta1 Pee bu:�� <br />_� <br />//Z3Date <br />� �- <br />Valuation of Construction $ <br />PLOT PLAIN A:QUI_TU ,;TS <br />Indicate lot size, name of streets, <br />indicate location and width of <br />allcys,'lccutc proposed and all <br />existing Luildir;gs, show distances <br />to property lines, show distances <br />between buildings. <br />Lot size it, . -x <br />Lot area _ . �iOJ �I 1-'f�j . _ Sq. Pt. <br />Size of B]�� t/y(��`j';`r� Sc. Yl_ <br />Munber of r. <br />Basement( <br />17f1c. _G - <br />Signcd By <br />For <br />U::ncr Yhouc -- <br />iKF_I O.li:! <br />Fire 2onc <br />Occupancy Group <br />Type rf Constivctioa <br />Occupant: Load <br />sprinklers Required 4 - ` <br />