|
�._ . `.�...__� .. � -.r- �
<br />�
<br />,
<br />`
<br />, � �
<br />' , � �i . - . . . ' . .' . . , •:f`� `✓�-:'._
<br /> '. , IIt7ILDII4C P�RAtIT nPPLYCnT 011 , : ,. ,, f : �,j
<br /> ' . .. . . . lippli.can� To Co:npleCc 'Phl� C'orm , . .' .y .,' .
<br /> .. .fy � • . 1//>i/J�
<br /> , • • � 7:P norc than one building is to bc cont-ructed, suhmit n separate permit applica-
<br /> . ; ' tlon for e:�ch„�. A separate yermit wi.11 bc i:::ued for eael� buil.ding.
<br /> / / �
<br /> - , _ / ,> .
<br /> . ' ' D'aner �i � � � %/CL�:���,Ii - Duilding Acldres� f�T�� _��' ,��J
<br /> ,
<br /> / ` /i
<br /> , ' � . rr�ares:, �'J � C� _'� ��c �=- Lot�• nlock 9 '
<br /> r � / � �a,(� /- '�-' . . i . �q d�
<br /> . City �� P!ione.�,9' - .!� L u^u divz�ion (P2at) i . ! //�'�.C7f�
<br /> ' • Architect/�nqinccr � ' '
<br /> • '• '"� City Phone .Idetes & Lounds (Unplatted) � �
<br /> - - �l ' ,/— ' . . � ..
<br /> , . ��' C011L'TdCtOL ���(.�.Z�f` SC'C. � T47j7. � 1�CJ(.' . .
<br /> . ,..� . . . . .
<br />, ` ' .�ddres� � .
<br /> _ . ?
<br /> .. ' -City Phone Hui.lding Use ',`�; �_
<br />� _ :..� .. .� . .. . ..:..•�,,..:.
<br /> � � �,� � State :.icense ticnber Describe Siork to IIe �Done /LL___j�,Ct��_�(�Li,;
<br /> /� . �
<br /> r � • , . ,j Yzpiration Dat� � ' _��cr�i�v . .
<br /> i -
<br />. . y1 � " � . SIC�'t'CH PLOT PLA?I BELOP7� • ,
<br /> _ ..i . . . •
<br /> , , � �� ' iJse of Buildir.g
<br /> . . :.,i . � . . : .. .
<br /> `. " .. ' , " , : �t2e;u ❑ nddition � Rcpair/Remo�el
<br /> � . , ; � . . . � , ' _ • �� � /i,�, �. .. �
<br />� '_'�. . • ' ' . . _ - LTaluation of ConstrucCion $ �✓ _
<br /> o � • . _
<br /> .. ' . . . - ^ . , `PTAT PLI'1� PT'QUIRI_::_:TS . �
<br /> �.: , : • . . . . � . . .
<br /> • i . • " Sndicate lot size, nar..e of strcc:s,
<br /> •_ � ' �1 . � - � • � . ' � � -indicatc locat-=on �ar.d �ri.cth o= .
<br />, � .. _ . • allcys, '].ocatc oropoced a,-.d a'_1 .
<br /> ,'�:� � . . � . . � . � .exis�iti9 buildi.-,gs, s5o:u ci�t�nces
<br /> q� � � ...' . ' . `a � : � ' . . . . -i:u property lines, e.i;ow distanc:es
<br /> ' � ': - � . - bet�aeen builciings.
<br /> � ' �
<br /> 1 . . • . 7.ot sizc x
<br /> . ' _ j . , Jot area Sq. Pt.
<br /> . �. � . Size of �ildg. - Sq. Ft.
<br /> � . ; ' � . � � IiumUcr of. Storir.s _
<br /> . '., '. . . � L'asC:nent � —
<br /> r:. �/� �� .�j,
<br /> � " �. � Si9ncd Ey /�`�/Li � (,- iL'Gc<c.,u� � '" -.' v
<br /> ' . • . ' ✓
<br /> . �. . Tor.
<br /> � � � Q���incr Phonc ` S '_ - /Y
<br /> � ' - � PO :d0; F::iIT: B�.T,0:7 -THIS 7,I?lii-P02 Ci7'Y US_: Oiii,'L ' "-
<br /> Datc `:eccived �C9 �7 � Uce� 7.one � __.
<br />'�i � . �- . . - �`- � . .
<br />� ' Plan Cbcc;: :7ur.,ber . . Firc Z��nc --
<br />' �� — .
<br />� \'aluation � ��-�;C�. _ Occuu�»cy Group � .
<br /> �� .
<br /> Ycsriti I•'ee - S � i'y�-�e o£ Con.:truction
<br /> Plan CI�ec1: Pce '---``� OccupanL• I,oad
<br /> . iatal T'cc Duc � � l�lJ + ��„-iiil:lcr: R��qiiired _„- • .
<br /> i , .. � D�tc Ss�ucd _�'.C__'.�J '7� �— . . ; , , -
<br /> i
<br />� ,�_.__ - -- -
<br />
|