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_ ' � 1 , ': ' � ' DOILDING PERMIT APPLICATION � '. � � � �7�[' ' `� • <br />1 , • l�pplicant To Complete This ?orm �'��// �A: <br />y � ' � %9f>�. <br />' If more than one buildinq is to be contructad, submit a se arate <br />� .. tioa for each buildin �l se arate P Permic applica- <br />4• p permit will be issued for each building. <br />. � � �1I6CI `i l /lrL i (� �� � ;i"�I � �� BY�1d1IIg AddL054 � , . - _'; �. C i C :6 �. (r.•. <br />� <br />� : _ <br />, �; '`� 3ddress -i �i i y ' ���'./ .. L ', i Lot l,'�� / Block C� i �. �- [� o . <br />�„• � • City / � r-,. C i % Phone � -'� ' c Subdivision (Plat) � <br />'� � izchitect/Enqineer � . <br />_•: �� ..'_'i City Phone . Metes � Bounds (Unplatted) <br />_ � ;, Coatractor ' Sec. 1tap. ' Rge � <br />...� . <br />r.. ' ' ..i� . . . . <br />. �_; •.. %�Less • � ' • . <br />.I, City Phone Ruilding Use • • '� <br />•. _ <br />�i! .'..� . . - - ' ;�'J�� " <br />`} � State License Nmuber Describe Work to Be Done i,�, ;C1 `. "~ <br />. • �y • • ✓ : <br />; •',I Lzpiration DaYe _ � r % �_. !i /.,...--._.;. • <br />�t : ." . . . - <br />� i SICETCFi PLOT PLAN BELOiJ' , c, ../.. � _ �:. '� % ji.. . <br />_ ; . .,... ._ .,. . <br />• :� � ': _ � IIse of Building F : <br />► . • � � , .... '�New ❑ Additian Q Repair/Remouel <br />� . {' . . ' . �' ' <br />_ . ' j e ' ' . . • _• � . , � � - • • Valuation of Constructior. $ -� �' ��� �'��'� �� � • <br />� • . . , .. . . . . . <br />.�- .; � ^ . PIAT PLAN REQtlIR&"IENTS • <br />-.,, . � . . - <br />� : . . � <br />'.; � • . • _ • ' . - ' Indicate lot size, name of streets, <br />' � - '` •indicate location and width of <br />• ' . ! ' � .' " . • alleys, locate oronosed and all � <br />' •' ' • - - ' existing buildings, show distances <br />' i � ' •-.' - '-•'! - : ..�'`� ' . . to property lines, show distances <br />; ;�t • . .� . ' • : betWeen buildings. <br />- • . . . • . _ , . <br />' - • . ,•. <br />: <br />af <br />• :: <br />.' • . <br />•� , -- <br />• �' <br />s <br />P.. ' <br />� � <br />� :' <br />I.ot size x <br />Lot area Sq. Ft. <br />Size of Sldg. Sq. Ft_ <br />Number of Sto;ies � <br />• �Basement l /i i <br />- --" � <br />` Signed By : �.-, ,/,`'' " ./_ / ' <br />Por ! � � ;�' � �-`��- L %lC, , <br />Owner �Phone <br />',' ' _ � DO N0:' Sd:i2Tt HSL0t9 THI� LI:IE-FOR CITY USc 027L'1 ' <br />-- —. Date �eceived � Uce Zone <br />' Plan. Check :Iu,�ber ' Fire Zone ' <br />Valnation <br />� . pemit Fee <br />. ' Ylan Check Fee <br />. ; Total Fee Due <br />Datc Issued ' <br />•' ` � <br />� <br />Occuoancy Grou� <br />Type of Construction <br />Occupant Load . <br />Sprinklcrs Required _ <br />. . <br />A <br />. <br />