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SUILDING PERf�fZT APPLICATION <br />Applicant To Complete This 'orm <br />..; <br />If more than :.•�e building is to 6e contructed, submit ❑ separate permit applica- <br />tion fo= each tuilding. A separat� permit will be issued for each building. <br />ow�,er (',�jZ1FFFti1, T� Q• :S' Building Addzess 5462 �uti+SET �U�u� <br />Adat�ss s4rn ��us�-r d�uE _ L�* `� Bi��k �oo D-o0 <br />City ,fo-��F'(2�ii�� Phone_ <br />Subdivision (Plat) N\r'�1l Q�jn ���MS <br />Rtchitect/Engineer ,R„ nA1�11�__ <br />City �Uf �� Phone 2S�j-(>�L�� <br />Contractor ILI�IIIANt A� � A��.�^C� <br />Address �' y0� L11F�\N�� ST � <br />Metes 6 Bounds (Unplatted) <br />Sec. 'IWp. Rge <br />ctty EvF�-r"` Phone 259-Co���i� Building Use c� aRac F' <br />' Describe l4ork to Be Done Q�� �� <br />State Lir_ense :lumber 223'��-�LB� <br />Expiration Date <br />��ryT'41 <br />\ <br />�E GEN D: <br />SKETCH PLOT PL�AN BcLOW <br />�L,>T_ S� <br />J <br />�>� r 9�34•.93 , <br />U,_ � C; <br />._ <br />lU i v.rS� <br />�• p "✓,�� �x.o] <br />� r-- <br />O .L 4�.�:t' <br />� ,��' , y '� r <br />� <br />� : � � �1 <br />N � <br />U� a <br />c <br />/, �' �i - <br />v ��� <br />R��, <br />Fx�s� c t= t_oc.. _� <br />nhlll'I 1(]t.� � -� -� <br />L�O <br />Dzte ^.^_r_ci':c'_ <br />i <br />ri'� <br />O'�A�,� g <br />-C� Aqs2 <br />� <br />�N / <br />C <br />?E <br />GARa�� � �'�R�:c-'�c•� � T <br />' ' c��.o� C'_�f3.��hlC��Y€ <br />Gx1�T� ' <br />NORTH A,,�i,r <br />i I Use of Building Pfl�\�� 1 <br />P1an C`eci: `tu-,�cr _77� � 7 <br />Valuation ��--- <br />zn �r� <br />Pernit Fee 5 c� <br />Plan Checi: Fce — <br />Tot�1 : ee Dve 2' 0 <br />Da:C IsSUcd ����r�7� <br />, <br />'r.''.��,? �'a-P; 2 t u,..; ;� 7�- i q. <br />�JHew � Addition ❑ Repair/Rem�del <br />Valuation of Construction $ qoy��. <br />pI,pT pL,7�N REQUZRE�I£NTS <br />Sndieate lot size, name of atreet=_. <br />indicate location and •..'idth of <br />alleys, locate .^.:oposed and �sll <br />existing buildings, sho•.� distances <br />to property lines, snow distances <br />between buildings. <br />Lot size i� n.A-2 x Z�'°2� X ���.� x��f.�3 <br />Lot area S4' Ft' <br />size of Eldg. - o sq. Pt. <br />Nunbcr o`_ Stor.ies <br />Base-er.t �C� --- ,l <br />� � . <br />Signed BY \�iI � �.�. �` i- ti�. �= <br />� <br />ror�,�iJ21Ffi'u j � �7•��" _ <br />Owher Pnone __ <br />E-cCR CZTY USE Oi7L't n <br />U;c .".cr.e Q-'� �«!L,' '-�•.• �9tJ VCi-�� <br />Fire Zonc �'3 <br />Occuoancy Groun __ <br />Type of Construction <br />Occupant Load ,__ <br />Sprinklers P.cauired <br />�; � ,•:TT <br />CIT � r- <br />/I� � i' G "'� � � "r' , - <br />� . _ `� :. �:�,::: f,_�. <br />�, ( � � �a > >. <br />r , , <br />