|
. • �
<br /> ' �. �� ', y ,o .._
<br /> • � ' �' ' ' DUII.DIHC PERMIT nPPLICATI0t7 �' ! ~ /,:��'. � �. .E.vj
<br /> -" ' •• s • Epplicant To•�ompYcCc •Lhi� :'orm � '� �
<br /> .. . . . . , ' � ,,—%1,(-� 5!'�%'�7<
<br /> • • � :Y nni-c than onc Uui].dinq is to Uc contructcd, submiC n s'eparatc permiL- applica-
<br /> � . , S•Son tor cach building. A separate pecmit will bc is:ucd 1or cach buil.diug. .
<br /> ` r � n
<br /> i � 4 -� n
<br /> . • dmer \- `l Yl �'�,�Ylu.'1'�C�Y\ Duildin� nddresa �;���• V� h ?r2,,�F Illi.
<br /> ' � 2fddres� ��j�` ���1ti�i n�o, �F,/�i . Lot lllock
<br /> City ��
<br /> ' � l't�0_Q� Phone_��-���-�,!'� Sub3ivision (Plat) __ •
<br /> ' � lirchitec` ng�neer \ � _ ' . .
<br /> ' :.J �
<br /> _ • _ ._j City � . Phone � 7tetes L Lounds (Unplat-ted) :
<br /> � ppf') o
<br /> . � ;,'_ Contractor �1k . �Y 1'. �, r..� C�9 R '�'. SeC. 2Wp� B9e _ •
<br /> , ,., . . r-- - —� . .
<br /> �• �. . i� �.a�ICSS . t' k� (y� � '
<br /> . S1 `� n • '
<br /> � .. ! -.City `�_��"Si:�-(�' `Phonc - y�i i_ ..11ni.lding IIse � � '._`,_:�.:::;�.
<br /> .,,; . . �-,"�3-oi- E ��=E6. . .
<br /> � - �'�� � SWte License ttcnber �,-� � �r� . Descr?be F7orl; to De Done � ���'� �
<br /> � . " 1 � . . � � � ,
<br /> : :. 'i �i.ration Date -�- � -`�'7 ' ' ` C�c� C��-->�-'
<br /> :� � , . sr.r,Tcia vr;o� rr.;,n ?SrL01'7� • • _ �
<br /> . :..1 . . . ' . • . . .. ,. . ' �Dse oE.Duildirtg • . _ • .
<br /> _�• : ��, ,_, .�� - . : � �Rew ❑ 1lddition � I'icpair/Remo�cl
<br /> . :. . . . , i� . � � : .
<br /> � '';. .�����' . . . , - �aluation of Conseruction S �� C=•
<br /> -�; �tsX��'�c,.'� . , , . .. . ' � � . � '.PT.OT l��a �t-Coz2r��-.::xs , .
<br /> .. . -
<br /> . :: i � • � , ' � • � ' ' :�Indicate lot size, naiae of street^,
<br /> '. '� � � • � . ' � •indica:c locaCion -�^d crir.t!� o� .
<br /> . ..! � . � .. . , � . alley::, 'locice aroposcd a;.d a�1 � .
<br /> ���� _ ... . . . . �e>:isti.ng buitdi:gs, shc:a distanres '
<br /> _ t ..��
<br /> _ •o -.{:o properL-y lines, sl;ow distanccs
<br /> . • :� .
<br /> ; ; - - . a . - _ betwecn. l�uildings.
<br /> ; . _ � . .
<br /> . . ,
<br /> , �' .S.ot nizc x
<br /> . •• . . � . . � � � . Jot- ar.ca � Sq. PL-.
<br /> � ,:, - . . . . . �Size of lildy. Sq. F�.
<br /> � .,. .
<br /> • Huv�Lc: of. tito_'ic;
<br /> . '.: . j � , . • ' Basc7cnt _ �._
<br /> e:.
<br /> _ ._ — . �9 a �, .
<br /> ,� . -1
<br /> . . . For_ �. ���,_��I.
<br /> . . . . • lnrnex Phonc
<br /> . . . . .. . . . �`�..�i-�9/Col
<br /> ' ' DU :70�: Si3?TL ?1�:0'.7 T11I� LI.]i.-�11R CI9'Y DSii O:iL'L
<br /> Date �eceived � � U:.e� 7.ou^_ �
<br /> ' Ylan C:�cci; `]ur..bcr ' ' Firc 7,oic ' � `
<br /> �
<br /> � l'aluation �'�'����-� ` Occt:n��ic� Grou�� �
<br /> � 1`ctniti Fcc �- ' � 7y�ic of Con::tivclion
<br /> . � .Pl:.n Check Ycc � __ Oceup:�nC I.oad ^_ ___
<br /> . ic[al 1'ca llue , � Sprinl:ll�r� Raqui.red � _. � __ � .
<br /> � '� ' � . . . � , . .
<br /> Il:te Tac;ucd _�---_�—_'Y. • ' . . . - . . .
<br /> �, � . . .. ' . , � . . .: .'.` � . ' . .
<br /> . . . � �� . - . ' � r�. ' . �'
<br />
|