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<br />.zf more than une buildin9 is [o be contructed, submit a se arate 3/''��' '
<br />p perr.iit applica- �i >
<br />t.ien f.oc each buill:nq. �1 separate �crmit will be issued °or each huilding.
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<br />C:�;ier � _ j� �,v ��, �'--- Buildinq Address _ , �
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<br />AddiF65 � � y ' Lot i _ � _
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<br />�=tS' ,�' ' ` Fhone__�__ Subdivision (Plat) -� �
<br />lrchitect/Gngineer _�` _
<br />�-+Y /"� / Phone _ j� MeYe� s IIounls (Unplatted)
<br />i:o,�tractor ��//- -_/ �'�; n: 1/ Ser.^--- �Iwp' Rge
<br />F.ddre�s /G�u� /�: . ,
<br />CitY _ �; Phone � S�-� 3)Ci Building Usc .
<br />;:,tate License Nur.�ber ��'3--�;/-/«%� Descr..be SJor;: to Be Done � � ��
<br />Lxpiration Date i/„-..� 7k '%� � _, �,�, I_ .
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<br />El!i:iCi1 PLOT FLA'.7 BGLOiQ /�\: I.� � -
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<br />I /�VX/>- $ —
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<br />Use of �uilding
<br />❑New ❑ Addition ❑ Repair/Rer,.ode?
<br />Valuation of Constr�cCion $ ¢3�. �
<br />PLAT PLN] P.EQUIRG+SE�;S
<br />Indi.cate lot size, name of strc_ts,
<br />ind:catc location and w:�th o:
<br />alleya, locate crocosed and all
<br />existing buildir�as, anow distar.ces
<br />to property lines, show distances
<br />betwecn buildinas.
<br />! Lot si2e x
<br />I,ot area Sq. Ft.
<br />-- Size of 31dg. Sq. F't.
<br />'✓' Nunber of Stor�es
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<br />�i.JI1CI P.^.OT1E' _�_ _. _
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<br />.. :� C:cc}: �...- r.._ Fire Zonc
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<br />.,iation _ 3/- � __ _ r�cuo,�ncy Group
<br />Pcrnit Fec 'J •� T}•pc of Cor�tr� ^ti � `
<br />�''1::n Cher_1: Fee
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<br />Occup�nt Load
<br />Eprirklcrs Required
<br />CITY OF EVERL-TT
<br />%�PPROVED FOi; GL'ILDI�dG PER"dl�
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