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u <br />C1,P•i OF I"J1'�:ti9'T Pl':ItbilT N0. �3 <br />DI3P71P.97•1PK'P Oi' COc1i�ltitdl7'Y Dr�%];LOP;�]L[1T /o � y <br />L'UlLDII:G I'I:i:ii]Y' i�l`i.'LICI',T70ri V71LlJT.TION .'.JCr r r,� <br />Plilu�flT FliI: — <br />on2��. �� �� � � �/, /4 7 �{ <br />,� <br />".�RESS OL•` CONSTRUC'P]"ON �•TORIC • ����� � � j ' �'%��'� _�}� _ <br />LrGnL DESCPII�TION: LOT <br />UNPLATTED DPSCRIPTION <br />1�'�'-/ ����� IILOCF: <br />BUILDING DliSCRTPTIUN: NE47 ADDIi'ION <br />$ OF UNI4'S OCCUPi.',ICY OR USE <br />IS TIII3 A CIIADIGE OI•' IIUILDING OCCUPANCY: <br />� 1 __� o <br />CONTRACTOR � \ Sl'111��Q-� ��il� � C�C�Q�i.'� <br />IdAILI:iG 1�� <br />ADDRESS r�-Q��„���C.�l I � �'3 ?_\1 <br />�, <br />i __ � ..� � ,,__� Q \ \ �C�_>>� � <br />PI30NE NUb1II�R � �i �j���)-�� � �-� � <br />SIGnATURE <br />YES <br />��� �� PLA'1' �, i �-�, ;, ;,: ;' ," <br />�; <br />RE6fODLL ��t'._;: i��� <br />OR I:EP�IIR � `t( � �, �I � ; <br />STORI�S <br />1�0 x <br />�� <br />OS7NBR ,i� �. �' - - �4 .�l�C l � tl,(` .0 � <br />6i1�ILIi3G �, <br />nDDRESS '���r� �(�) �_ � l 0 r ��) �J �h . <br />� , l ?l' �� r'-'t�'��' � <br />PFiONE NUh1BER c�-'���1 - �I'LI�� J <br />�• �� _ ! • <br />NUt•SBER -� � 1 �; � — I I '-� %� %'� <br />NOT�: THE 11PPI,ICAN'i' SHALL FILL IN tiLL i1BOVE BL7�111:S CO,�iP?,::1'ELY INCLUDItiG <br />TIIC PLOT PLi'.I] Si;�TCi1 O?: P.i3RR OF 1^IiIS 511ErT. TIIL: ?�P?'LICAN'P IS RESI?Oi�SIBLE <br />I•'OR ALI� It:l'On�Lr�TIO:: C1IiICI1 IS FURi:ISF1ED U�; THE AI'PLICFITIOId. ANY Ci]eIIdGL.°. <br />TN THE I1dP'OR?iATIO?Q, PLOT PLAiQ 012 BUILDING PLAt•IS SIIALL BE �U13MITTED '1'0 7:?E <br />II:SPi,CTIOP: UIVISIO;•'. F'OR APPP.OVAL BEFORP PROCEfiDI?:G �9ITH TI�E CONSTROCTIO:d <br />Y�ORK. �✓/��" ' " <br />AP F!;06 t1L : � <br />1. PLANNIIvG <br />2. ENGINrTi?:ING <br />TRi�FI•'IC DI\�ISiON <br />L+IATLP. SERVICL•: <br />Sli[4ER SEP.V7CE <br />PUllLIC SBRVICE SECTIUN <br />?. I:ISPECTION DEPARThfENT <br />� . i'IRE l;riRSllAL <br />DI�T� <br />NO'I'7:: ALL CO1dSTP.UCTIOid S':Oi:': SIii�LL CO'��l'7,}' S9I'I'❑ J:YPLIC?1PL�3': CODES� I'.07".'S <br />0:: llTG,III;dGf�, r.:��n I!::;PI:Cl'IO2`'� <br />i <br />