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. � Applieant To Cecptete 'rnis :orm /����7/���
<br />If more th�n one buildirg is to bc controcted, subnit a separate Fennit applica- s
<br />tion for eacn building. A separate p�rmit •.+ill te issucd _'or.r -t_� buildinq. s
<br />n,/ S7' S. LG! �
<br />� TI �
<br />Ovner �f%/% d I�' ✓7/di ��i��,L/� Buildinq Address
<br />5<'c ,c L,c d � rf� 7�
<br />Addzess .�'��c� X ��� � Lot 3 Block __ j
<br />City /�%OXi�"T �' Phone 355- �/3.5� Subdivi�ion (Flat) �
<br />Azchitect/Engineez �i' � <<��= �"�
<br />,
<br />City Phone Mctes 6 Bounds (Unplatted) _
<br />� P QJpd�c�c�t ��� Sec.� icap. o? % R4e �. :��. NJ. ,
<br />Contractor �
<br />�
<br />Address ��'• �o X 'ii.�� —
<br />-//�s— auilci, use S/k�� (r �c'�°"�� ���5. i
<br />Citp /l1v��i"L��' Phone 3�=5. � � ! j
<br />State Licer,�e ha:�ber � � 3 �' /- �����' Des-_rite For'r, to Be Done
<br />Er.piration Datc
<br />/ _ i — J.7
<br />SKETCH FL^T Pi.%�.: EL-^'�
<br />Use of IIuilding
<br />�New ❑ hcditicn ❑ AepairjFec.::cel
<br />5-C G
<br />YaluaCion o: Construction 5 ?c�, _
<br />PIAi PLAN REQUI°r'�.::TS
<br />Indicate lot size, nane of s::�^__s,
<br />ir,�icate lcca=:c:: anz ,�-�'!: c'
<br />alleys, loca:e �rc�o�ed �^^ �-!
<br />d=ccs _'=
<br />existina bcildara=_. sno•a 5
<br />to proper_y lincs, sno•d di=_t�:r.ccs
<br />betueen buildincs.
<br />Lot size �
<br />Lot area Fc. Ft.
<br />Size of Blda. `' " •
<br />t:ur..ber of Stor-es _
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