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BUILDI!JG PEFUfIT APPLICF�^'?ON %��%�U � ��! <br />Applicar.t To Completc :hi� "orm � �/��(�� <br />If more than one buildingt,lse�aratecpe=mittxallsbemissuedeforaeache5 ilsinglica- <br />tion for each huilding• P . • <br />L � / � , �, � Building ndd=ess % % ' "' <br />Owner L <br />�) i 7 ., �. — ,,- � � Lot . � ' Block <br />Address • '" � �- _ � ; <br />Subdivision (Plat) �5�.'� �' <br />City Fl.; •. • � Phone . _ � � <br />Architect/Engineer <br />City Phone <br />/�� <br />Contractor ����+� /���rY'�'-�� <br />Address iJ ' 1 /,� ��' ��' ' ' <br />City �Jl_i.',•� Phane..�S.i'�LS�'/ <br />State License NwTber 7% ' �%�-�=. <br />Expiration Date <br />SRETCH PLOT PLAN BEiO'.i <br />� • <br />_ ✓. <br />Metes S Bounds (Unplatted) <br />Sec. 'IWp• Rge <br />Buildinq Use <br />Describe Work to Be Done /�+" �' %/ <br />; <br />i. <br />' - fin'f <br />. y�c . . � . .>i <br />/ ��. � i >I -. + „ . <br />�_.�K �a - <br />Use of euilding <br />❑ New ❑ Addi�ion �epair/Remodel <br />i <br />Valuation of Construction $ DO ; <br />pl,pT pLnN REQUIREFIE:7T5 <br />• Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, locate proposed �nd all <br />existing buildinqs, show distances <br />to property lines, show distances <br />between buildings. <br />Lot size X <br />Lot area Sq. Ft. <br />Size of Bldg. Sq. Ft. <br />Number of Stories _ <br />$d SC:CC^ �`- <br />i � �'��.-=�/`�' <br />Signed 9y <br />For <br />Owncr Phone <br />DO NOT WRITG 3�LOI� THIS LI;1E-FOR CITY USF. 0:7LY <br />�.«� . :=o'tve:'. _ <br />Plan C::ec'c `icr_-- <br />Valuation <br />Pemit Fee __ <br />Plan Checl: Fee _ <br />Total Fee Due _ <br />D.�eC iv_.ue�3 _ <br />U:e 7.one <br />Fire Zonc <br />Occuoancy Group __ <br />Type of Construction <br />Occup�nt Load <br />Sprinklcrs Acquired <br />