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<br />-- . , S , . � ,. . • • � S:UYLDIt7G P£IUdIT APPLIC2ITTON � . ,� ; � �:�':' . ''?j .
<br />.. . : �nplicant To Complcte Tlii� =orm �' � : � ' ��'
<br />•..' %f ciorc^ than �ne buildinq is to be conCructed, submit n.eparate permit applica- ,
<br />� ,, Qf.o� fc�r cach bLLLL[Il[l�. I> separatc Pcrmit �+ill bc issucd for cach building.
<br />. _ :� � - - , .; r,/�. . .
<br />' Ovuer �� l� •`�� � � � �� �; �� �(� 1 � I IIuildinq Address � '�� -
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<br />' , Eddress rf�:�� � 4��,1,�..' �, J Zot IIlock — -:
<br />� ' �� � � �'� Ahonc J�_'ri=.'��"' , Sabditrision (Plat) '
<br />� City , � i `� ,,�..--= �=— —'�— -
<br />' • �chitcot/Engincer �_�, '
<br />•��� ='� City \ e Phone \� Metes & Dounds (Unplatted) :
<br />- - �f � �.� ; , Rge .
<br />.. ' f.ontiractoz � � �_C ( ( � ""'i, � i ! �1 /' Sec. '�P• . .
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<br />�. :• Fdt7zess �'� f'� r" ('.i "','l ��'r� �'Y`_ ��� �_I. —
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<br />'i �tY �- � � I , ; i, �� Phone -;�� . �j , � �� Buildin9 Use :4 's-
<br />•�; .. .;. �' .
<br />�'e �� State. License l7�cr ��1�) `, -�, �-' % l�ic � i�scrzbe Y7ork to Be Done
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<br />� : . �I Expiration Dat� � � � - . ](,_ � . _
<br />�a � • � • SRETCB PLOT PI.7�?J flELOid� ` . _
<br />" ': , .: � • .. , n IIse of. }3uildirig .
<br />_ �.1 . � . : " • . QNew ❑ nddition L1 Repair/Remo5el
<br />�. . . . ... i: 1 �'G .
<br />• . . , ' . • Va!uation of Construction $;���i �
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<br />�e . . ` � : . . . � . � � � _' � . PLOT PI.F�N REQUI_TtE:�1ENTS • . -
<br />'_ .. .-.. . . . . . e � . . . . .
<br />�' � •. � Yndicate lot size, nane of s,.reets,
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<br />. . .•,� _ • . - •indi.catc location �.afl Wicch of
<br />! , -- _ ' � allcys, locat� ?ropese3 a:d all
<br />i.= - • • � � • . , � e7:icsting buildi::cs, she�a distance,
<br />-, ` �� , ' _ _ ._ .� : , • . , , . . to prooerty lines, shcd distanees
<br />bettaeen buildinys.
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<br />�: _ .
<br />- . .. S�ot size X
<br />• ' � � , . , Lot area Sq. Ft_
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<br />DO ,70': S�:iITT' 3�L0'
<br />Datc Seceived � �! �
<br />' Plan Cbec� _7ur.,ber �
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<br />Caluation //�,-,� ( �.,`--
<br />Feni c Pce �%'�� C=c— ,
<br />Flan Chec1: Fcc _,
<br />, � �ibtal Fcc Due �
<br />L`aic Issued '
<br />• Size of Bld9. _ Sa_ Ft.
<br />?Jumbcr of Seories
<br />Bascment
<br />Signcd By
<br />For
<br />P+�ner Yhone
<br />E-P02 CITY USE OiIL'f '
<br />II::c Zone
<br />Pire Zone _
<br />Occunancy Crou� �
<br />Type o£ ConsL-rsction __
<br />Occupant Load
<br />Spr3nl:lcr� Required
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