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__ � J ' ' � � ' lOILDINC PERMIT APPLICATION � � ' ' � n ,�.� <br />' .. ;� ' , �pplicant To Complete This :orm /���Ci , <br />� • Y! eore than one buildinq ia to be contructed, submit a se arate �!/��S <br />tion for each buildin P Permit applic'a- �5 <br />4. .1 separate permit will bc issued for each buildinq. <br />; � Amer _ �• /r /�i� „� Duildinq Address � J/ S' 5�,,, . .��: <br />— --� <br />.� , aearesa 19/ s Sv,., t,. ,'� rat 7:�- 9 B1xx .� 5-'� • <br />aty ��.p•_o� Phone7SZ-"��54�0 Subdivision (Plat) >�; /til�n�4c • <br />� _ e- �-� � .y d0 J` <br />. • lschitect/Enqineer .S � �o'.� <br />:..I CitY Phone <br />- - �j Metes i Honnds (Unplatted) <br />� Oontractor .�'� � '� Seo. Twp, gq� � . <br />. , . � �ddress • . . , <br />' �LY , Phone Buildin Use � ' <br />� .��; 4 _F3 tG�, o_ � .. ..�•.. <br />�: , <br />�� -;j Etate,License Number Descrihe Work to He Done ��'���.� <br />, , . . :'t �piration nat� L� ii s��/- �� � , y � . ' <br />��� -� . � SRETCH PLOT PLAN BELOfT� • - � <br />• • •I • . n <br />: ; � . . IIse oP Huilding _(, �r r<� � <br />� . � .. �• . . ... (�Nev ❑ Addition ❑ Repair/RemoGel <br />, . . ;' � . <br />� • , Valnation of Construction S��'�. <br />� . . — . <br />.�• � � � . . ' ^ PLqT PLAN REQUIREhfENTS <br />.,, . <br />� � . . . _ . � . . . <br />. � � - ' Indicate lot size, nane of streets, <br />� � � ' �' 'iadicate location and width of <br />� ' f - ' - �� � alleys, locate or000sed and all � <br />'. ���� _ � _ . � • . � existin, buildiags, sho:a distances l <br />�''! �}+ to property lines, show distances <br />. . ♦ � � � - Detween buildings. <br />. ' • . Lot size x . <br />...- ' . Lot area Sq. Ft. <br />�'. +'.. ' • Size of Sldg, Sq. Ft. <br />' . • Number of Stories <br />' " '3. • Basement <br />... � <br />' � � �. _ �f biqned BY � �". / CG � <br />• i <br />Por <br />. � Owner Phone <br />� DO N0: h:2ITS H=LOf'I THIS <br />Date r�ceived <br />Plan C:�eck :7ur.,ber '----- <br />Valnation �(�, O� <br />Fetait Fee 'ZO-� <br />Ylan Check Fee <br />ibtal Fee Due L�- ��- <br />Date issued �ZS'"7`r <br />� <br />LI:IE-FOR CZTY USE Oi7L't <br />Dce Zone <br />Fire Zonc - <br />Occuoancy Group <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />. , <br />. �•+` �-. c- , .�r j a:� / -, �_ <br />