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_.' ; - � lOILDIrG PERMIT APPLICATION . � • ��;� <br />- ;' ; ' , Applicant To Complete This ?orm � �G/� ��•• <br />, •' If more than one buildinq is to be contructed, submit a sepatate permit applicd= �/� <br />. LlOn for each 6uilding. il separate permit will be issued for each buildinq. <br />STC l/ P_ � • <br />l' Ovner �I% C. ��O -� Huildinq Address � S// /1/� P - <br />. � � addresa � `� � �� � S a I�l �'� ,' -t 5T Lot 1 % � � � � Block � `7 �� . <br />City �/�fvQ j'j Phone�h �-30�' G Subdivision (Plat) S% ./✓ �� C�i��.�` <br />� �rchitect/Enqineer � . <br />`"� City Phone Netes t Bounds (Unplatted) <br />- - 'i <br />, Caatractor ' � Sec, iwp. Rqe <br />- , address � • <br />' City Phane Building Use � °•;.`;�'. <br />:� �:. . . <br />��_� ���i � State.License Nw�ber pescribe Work to Be Done �` <br />; � 'i �piration DatE ' � e �� =� f f� G �q- j-,!� G /_— . <br />��' � � � SICETCH PLOT PI.AN BELOW' � � � <br />. .� � . � . <br />:{ : Dse of Building <br />� ..� •, , ... ❑New ❑ Addition �,Repair/Remonel <br />•� Gd . <br />.• � � • ' . • ' �ilIIdQ10II OF Construction 5 �O'.!� �' � <br />��►• �' ' � � - � PLOT PLAN REQUIRE.�SENTS � <br />� <br />. <br />� t .. . ' : . .. <br />�7 <br />.f ' <br />..� • .v <br />,. ' • <br />.'- Iadicate lot size, name of streets, � <br />•indicate location and width of <br />� alleys, locate proposed and all � <br />. existing buildir.qs, sho�a distances <br />� to property lines, show distances <br />betaeen buildings. <br />Lot size x_ <br />Lot area Sq. Ft. <br />Size of Pldg. � Sa. Ft. <br />Number of Stories <br />Basement <br />Signed By <br />Li <br />� � � For .!—, ..:P�--.- t-�/) � <br />Owner Phone <br />B2LOS9 THIS LP7'c-c'OR CITY USE f <br />DdGC �:CC01VCd � �}' � �^ <br />Plan Check :7ur.,Ser --� <br />Yaluation �� C� (� �� <br />Peroit Fee �� . C9 C� <br />Plan Check Fee � <br />Sbial Fee Due `_> � �� U <br />Date Issued �`Z\^ <br />'f <br />Ace Zone <br />Fire 2onc <br />Occuaancy Grou� _ <br />lype of Construction <br />Occupant Load <br />Spzinklers Required <br />0 <br />