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� � � 80ILCING PERMIT APPLICATION - -, .� <br />• • )lpplicaat To Complete This .orm � �-%J''j� <br />.• " if more than one buildinq is to be contructed, suhmit a separate permit appli "a-�S/� <br />.. tion for each buildinq. A separate permit will be issued for each building. <br />" ' Amer �L�N � ( Ii6U / Buildinq Address ��� 3s� . <br />; r�aare53 � 1 v� �S ,S `'�' 37. i.ot•,� �'2 5•2 4 Bio�k $ 3/ - B 3 �� <br />. City ,�/`E2 �� Phone f � - � s � Subdi4ision (Plat) • <br />' - Arct:itect/Enqineer N O �' � • ' E�� �� � �/ � V ,1 �! I , - � <br />rT— <br />_ `'-� City Phone Metes 6 IIounds (Unplatted) <br />.; <br />. : , Contractor /r7rL� � �iiOA/i % / MC Sec. 1t+p. Rge � <br />` . ' liddress LSZ T � EdER (v ��a• ' __ ' <br />- - f � <br />Y �ty �'1/�RF%f Phone sA�'i. +A 7 Building Use �! M� ':'.ti -�s�... <br />�'� State License Nur�ber �Z�-��`�6�7� Describe Work to Be Done 1t�/�(,/�!!_.�� <br />. ri ws . <br />�• '� Ezpirati.on Dat� 7g �Z%%�e '�N/Cti1�i� ANt' PEVTRiR /�TT_�(y <br />� :�: �� . � SRF.TCH PLOT PI.ILN BELOW' • ..����5 �T �Tfi��T\,# �A�CtNL— - <br />� • �� ' � IIse of Building <br />•� . ... , <br />, ,' , , , � ❑New ❑ Addztion Q�Repair,'RenoSel <br />.�. � : . � � ,Paluation of Construction $ �Ly� 0._ . <br />� <br />- PLOT PLAN REQ(IIRE.�lENTS , <br />' Tndicate lot size, nar:e oi strceets, <br />• ' indicate location ar.c width oi <br />'. , alleys, locate aroposed a.^.d all <br />. eacisting buildings, sho:u distances <br />. _ . to pr.op�rty lines, show distances <br />' • between tuildings. <br />��• � Lot size x <br />.Lot area Sq. Ft. <br />• � Size o: Bldg. Sa. Ft. <br />• Number of Stories <br />Basement <br />Signed By *��� / I � / �- c.. <br />/, <br />For <br />Owner Phone <br />DO .70T 1ti3?T5 B?LOI7 THI� LINE-POR CITY USn OiIL'L <br />Date S�ceived U:e Zonr <br />Plan C;teck ::w:�Ser <br />Valuation <br />Peznit Fee <br />Ylan Check Fee <br />Total Fee Due <br />Date Issucd <br />0 <br />Fire Zone <br />Occuvancy Grou� _ <br />Typc �f Construction <br />Occupant Load <br />Sprinklcrs Required <br />.,i_._ .. ._ -- <br />