Laserfiche WebLink
a <br />0 <br />.. <br />DDILDING PERMIT APPLICATION / G��7�jJ <br />� �pplicant To Complete This ^orm / �� $�% <br />Zf more than one buildinq is to be contructed, submit a separate permit applical '/�S <br />tion for each buildinq. A separate permit will be issued for each building. <br />Ovner 'yY�N�y �� ,EUjS�`>� Pnildinq Address %3� y�"� s� � <br />Mdress 73 �/ Y���/ S'Ti'cCT Lot � Block ' <br />City .C�'7/Ef-�� Phone 3SS--7�t3 Subdivision (Plat) •S7'LU/1+�/ C.�'fS7 � <br />L • <br />Architect/Engin�er pZ3a✓'- <br />City Phone Metes 6 Bounds (Unplatted) <br />Cantractor ' Sec. 'h+P• R9e <br />]lddress <br />City <br />State License Nur�ber <br />�piration Date <br />Phone Building Use Si�v4L� �M'��/ �c'it'� �. <br />,; <br />Describe Work to Be Done <br />SRETCH PLOT PLAN SELOi9 <br />e <br />Gk%SvS N 4� L"Sv t7 �•✓4' e��-"CrC <br />� Qse of Buildinq �b.N�f1'C <br />� ❑New ,I�,Addition � Repair/xemo::el <br />� Valuation of Construction S ��'?'� <br />PIAT PLAN REQUIRE"1ENTS <br />Indicate lot size, nane of stre=ts, <br />indicate location and width o: <br />alleys, locate pr000sed a�d all <br />existing buildings, shc�a distances <br />to propert/ lines, show distances <br />between buildings. <br />� ' <br />� ' Lot size X <br />. Lot azea Sq. Ft. <br />. � Size of Bldg. Sq. Ft. <br />•� " Number of Stories <br />easement <br />+" Signed Sy .. M �� ��� <br />For ✓ . <br />Owner Phone <br />DO :70: Si:2ZT5 3ELOS9 THIS LI:JE-20R CiTY USc Oi1L'L <br />Date Seceived U=e Zone � <br />Plan Cheek :7uec,ber <br />Vaiva:ion <br />Pexnit Fee __ <br />Plan Check Fee _ <br />Tatal Fee Due _ <br />Datc Issued __ <br />Fire Zon= <br />Occuoancy Grou� _ <br />Type of Con�truction <br />Occupant Load <br />Sprinklers Required <br />E <br />