Laserfiche WebLink
� <br /> i <br /> r <br /> i <br />� <br /> ...,.. ,.«...,..,..,,,. . ..,s <br /> . � , � <br /> -- . • �pplfeantVToyComplete This 5orm ' /�� .� <br /> � . ' II eore than one buildinq ie to be contrueted, submit a separate permit applica- <br /> � tion for each buildinq. A separate permit will be issued for each building. /�s <br /> : � <br /> '�• �tr Li;��.�1 v�U9iLSn.r/ 8uildinq Address �N U �! 2 3 Yz u : <br /> , "3'G�— i9 2 YZ . <br /> . �ea=�ss �'.�— . i ST wt i.��-�� sio�x �l ii <br /> , • �ty �_ Phone Subdivision (Plat) T �� ' <br /> ' �iehitect/Engineer � �f� ) 'r�o�- �PSS `f'I�Y lA�e<7 b�l �D �T5' <br /> _ . ._ (_� �tY Phone Metes i Bounds (Unplatted) : , <br /> . , Ooatractor //� �•m � � YS�i�50"" Sec. �+P• . Rg° . <br /> . :�' . . <br /> . lddress ZZ ) Q �kt�ZR ln•' <br /> � <br /> .. i City le rz: � Phone Bnilding Use �.� s e����l+ c�C, . �:.�_=�:�_:;,:. _. <br /> {t : •''+"' " , <br /> -' �,} State.bicense Ninnber Z3 C /3� �Z Deacribe Work to Be Done o„�. �� � <br /> r /1 , <br /> : �; .l L�cPiration DatB � l ' �/ - �� � SK��PTi v�(� G`v-� 1��� 1,�t_w�+ <br /> .. � �q J <br /> �1� �� � � $EETCH PLOT PLAN BELOi4' .. ' � � V� � �"� } ' � . <br /> i • ' � ' , <br /> ' . � ; . Dse oF Building ^ .z <br /> , ��i • - - ' �New ❑ Addition �Repair/RemoGel � <br /> B : <br /> • , • ? . _ - . ' ' . •Valnation of Constzuction $ 1� . � f� � �S� <br /> . 7 � .. �� . - .. . .1 <br /> • � � � � . - . F7AT PLAN RE40IREMENTS _ � . . <br /> �►' ' . . " � . '�- . . ' '. . ' <br /> � ' . <br /> ' ' - � ' Indicate lot size, name of streets, <br /> . ' ; � - ' •indicate location and width of ! <br /> � . - : alleys, locate nr000sed ar.d all <br /> �.� • � I ezistinq buildings, shocv distances <br /> __ � to praperty lines, show distances <br /> - • - - betaeen buildings. <br /> ' • _. - <br /> � ' .' � ' Lot size z <br /> ' s . .. Lot area Sq. Ft. �.: <br /> -'� � � � • Size of Bldg. Sq. Ft. � <br /> �• Numbez of Stories <br /> �� . <br /> . � '.: .�j . . . . . . . ,.Basement , . <br /> !.. _ <br /> ,_ , <br /> --- . Siqned By ������¢/f�vr ,� <br /> • °• , For <br /> . .- .. . . . � � � Owner Phone , <br /> . � � DO NOT �CZIT� BSLOt�7 THZS LINE-20R CITY USE Ot7LY <br /> . � Date Seceived D_�e Zone <br /> ' Ylaa Cyer,:: 9ur.Ser Fire Zone <br /> Valuntion _ Occugancy Grou� • <br /> i?emit Fee Type of Construction <br /> , pYan Check Fee Occupant Load <br /> . � 'PoW1 Fee Due Sprinklers Required <br /> Date Issued , . • • • , ' . ' <br />