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' . BUILDING PERMZT APPLICATZON / % � '� �` <br />. Applicant To Complete This ^orm � <br />. -�/ �/ <br />.f more than one building is to be contructed, submit a separate permit applica- �'-� <br />:ion For each building. n separate permit will be issued for each building. <br />Owner ,�I ✓1 �'J .A. /i (�i}.;'Dt�oC D Buildinq Address $/// ,fpr�A"A1VE L�f; <br />Address ,� c^. /,'r `' -•= F Lot Block <br />City „�7�„(-J/Tfo phone ,Zr;- //,?s' Subdivision (Plat) <br />Architect/Engineer <br />City Phone Metes 6 Bounds (Unplatted) <br />Contractor <br />Address <br />Sec. � �P. a r2�I,Rgc S�. Gl, r', <br />Cify �__ Phone ��Building Use ��� � GN. L7WC[i+'/,%G <br />State License Number �a. 3- o i- �a �/D Describe Work to Be Done � <br />Expiration Date C - �- 7� (.'.F�; •:(�y,..� • -� /X t,c. ) /�� �:...,- <br />SRETCFi PLOT PLAN BEL014 <br />' /oo, n' - <br />r�s _ _. ._.__.. . . � . <br />� ,� � � <br />� <br />� � �. <br />c i 9 <br />_ I v_ <br />�� � <br />�1-L�+-�����• �. <br />_- /DJ_� __..-._ _—__- � <br />k Use�Buildin9 Y-:.�.��lv '� -:;' �•��%„ . <br />✓ <br />[��:�-i ❑ Addition ❑ Repair/Remodel <br />VaLaation of Construction 5 � <br />PLOT PLAN REQUIRE:IE:ITS <br />Indicate lot size, nzme of st:-eets, <br />indicatc Location and �aidth of� <br />alleys, locate pr000sed and all <br />existing buildings, show 3ist=nces <br />to property l:nes, shc�w distanees <br />between buildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of B1dg. 1�g��_ Sq. Ft. <br />Number o� Stor:�_s _� <br />Easemer. 1,),�L <br />Signed 3y �r'a,�i..-� <i- �^ c"-., ��_--�� <br />For <br />Owncr Ph��ne <br />DO NOT WRITE 1ELOl9 THIS LiN'c-FOR CITY USE OiILY <br />Date ^._ce?ved ��/�p�7S� U�e Zore <br />Plan Ct:ec:r Vu^��cr %s- Z�� Fire Zone ' _ <br />Valuation <br />Pernit Fee <br />Plan Check Fec <br />Total Pee Due <br />Darc Is=ced <br />Occucancy Group <br />Type of Construction <br />Occupant Load. <br />Sprinklcrs Required <br />CITY OF E`���`�TT <br />APFROVED FGR C�'�',_'�.,:�"' :':��,11T <br />�,,��-- <br />, <br />0 <br />u <br />