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• BUILDING PERMIT APPLICATION'• <br />Applicant To Complete This :orm 1 <br />C7 <br />7 If more than one building is to be contructed, submit a separate <br />permit <br />Lion for each building. A separate permit will be issued for eachbuildinglica- <br />Owner Building Address/7,r <br />Address i/ r1 s % Lot f y Block <br />CStY ILL-�- Phone ZS `2 L1'- Subdivision (Plat) 1pe'd4 bawd ("G• <br />Architect/Engineer 1C <br />City -.Phone Metes s Bounds (Unplatted) <br />Contractor Sw / Sec. <br />. _ T:rp. Rye <br />Address <br />City <br />State License Number <br />Expiration Date <br />SKETCH PLOT PLAN BELOT? <br />r a <br />DO N( <br />Date Raceived 4 <br />Phone <br />Plan Check Number C <br />valuation i 090' 49? <br />Permit Fee 690 <br />Plan Check Fee -�-� <br />Total Fee Due <br />Date Issued <br />Is <br />Building Use <br />Describe Work to Be Done '^( <br />_W(-2fdow 2Z /ra7afN <br />Use of Building <br />UNew ❑ Addition Q Repair/Remodel <br />Valuation of Construction $ i©o- `. <br />PLOT PLAN REQUIRE2IENTS <br />Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, locate pr000 ed and all <br />existing buildings- , show distances <br />to property lines, show distances <br />between buildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of Bldg. So. Ft. <br />Number of Stories <br />Basement <br />Signed By <br />For <br />Owner Phone <br />LINE -FOR CITY USE ONLY <br />ULe Zone <br />Fire Zone <br />Occupancy Group <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />