|
. . � . ... . . .. .. . .� '_
<br /> . . - ,`. �1 J� i �
<br /> . 1 � ' ' • ' ' HOILDING PLA,.SIT TPPLICATIOP! � . .`�'i �'.�-''; '•',7 .
<br /> _- . .. F . . : npplicant To Conplete Tliis C'orm .� • �{(,��.' _•�. , ,
<br /> • ' yaore than onr L•�i.ldinq !s to be contructc•i, svbmit a �eparate permit applic���i�
<br /> � . . ticn f� ch Uuii..in• . �1 separate permit w;� : be issucd for each Suilding.
<br /> � , �/ �.�dca—aTcS�t�-Q
<br /> • • �e! Dullding 1lddress
<br /> � • ' Eddress ��C� � cO��J�11 �l,{J �]]�(11,�, Lot�, Dlock � _ �
<br /> , • Ci�r���'��>'-'` Phonc��jQ-��C��.. Subdi'visio� (Plat) l,,l ���- •1'irS u.q+jeAv*r�
<br /> ' • 8rehitc t/Engincer _ � -- � .
<br /> • '. � `'� City �Phone Metes E IIounds (CTnplattr_d) _
<br /> ' f �ii�L 1 Y.� � QCLO !7 D - Sec. . 2t+P• Rge . .
<br /> :�• Contzactor . .
<br /> �. , • ' �ddress � � � , — - ,
<br /> - . , = �� , . r..: '
<br /> „ '! City Phone ��(� I Building Usc --_�.._i;:
<br /> ��i . . ,:. . � o�- [U-Eb=�� ;.:}::.
<br /> �'�� ' Stzte.License Ni:aber ' '�(- � H Describe Wor}: to F3c Done
<br /> , . .:. �I EzPization Dat� a- �-.�'L_ , �1�:�.� � >� � � 4 c�'? �,t��d'ri!
<br /> ,� ° " ' _d �a Q TO . ' .
<br /> sxsTcx rLo^. ria� ssLo*a'
<br /> - '.r',: � . � .. . • ti�e of Buildidg
<br /> �.� ' '� • � - • � _ ' � . , , � • OYiew ❑ Addition � F.epair/Remo3cl
<br /> _ : . . , . ` Z 00_ .
<br /> � • •? . ' • Valuation of Constr.uction $c�c�
<br /> ` ;. � : .
<br /> �� •� . . � . .� ,� . . .. . � � I ' PTAT PI.AN REQUIR&�i£YTS • . � �
<br /> .,,,,� _ . . .. .._ ' � • . . . �..
<br /> � � �
<br /> � . . ' • . • • :Cridicate lot size, nanc of strcets,
<br /> � . . . �
<br /> � .' ,� , . � ' ' . - •indicatc location ar.d '�'idth of
<br /> � ' � � ! . _ �• �=; � _. � � � • allcys, locatc proposefi ar.d a11
<br /> �_!; - • • � • : " � � cr,ist-ing buildi:.gs �ho:a d�stanees
<br /> : *� __ .� , , ��'� to property lines, ,sF.ow distanees
<br /> - � . • - , between buildings.
<br /> . " : : . � , _ . _
<br /> ' � . .. - Lot size _ X
<br /> � � . � _ ,
<br /> � � . . .. . ' -. I.ot ama Sq. Ft.
<br /> �. "" ' ' � � . ' � � Sizc of IIldg. � Sa. Ft. �
<br /> ' r• � ' ' ` � � Number of Stories
<br /> `� . . . enent-
<br /> • '.; i ' - .
<br /> ''" , ' igned B
<br /> •� _ . .
<br /> . . . ` � Q.�,
<br /> ;; . po �
<br /> • - ' ' ' � Owner Phone
<br /> • � DO :70: IC:iI?� 9=LO17 ^HIS LINE-POR =ITY USE Oi7I,'1 � -
<br /> , Date �Seccived � 2 7 �_ ti-�� Zone ��
<br /> ' '��� ' Firc Zone �
<br /> • Plan C:�ec�_ urSer --�"'
<br /> �J � Occunancy Croup �_
<br /> Valuation •_�'1�, '
<br /> A v .
<br /> pemit Fee 2 � ' _ � Typc of Con�truction
<br /> � � �-' Occupant Load �
<br /> � Flan Checl; Fcc � ,
<br /> , � Total Fcc Duc �� m L SpriuY.ler� Required _ _ �
<br /> . .. • � � . . . . . �
<br /> Pacc Issucd � Z , .. ' ' ' . '
<br /> . . . , . .. ,
<br />
|