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Ilr � ... . . � - _� � �l <br /> 1 <br /> I <br /> �� • � r , ' ' �.. ..�... . _ .'' .•. __ <br /> �OILGI%7G PEFiNTT APPLICT":09 ` " '. j;:j,.^� �•.� <br /> _ • �• �� Appllcanl ':c Cc,rplete This :orm �� ' � " , , '• <br /> •. • ' If more than one buildinq ia t:o be contru�te�t, submit a srparatC p�e'rm�t•applica- '• <br /> . , ilon for each 6uildia�. �l srp�ra[e permit will bc issucd £or c�ch building. <br /> ' � Ovner � Buildinq 7.ddzese _ �� _ . . <br /> ' ' __ <br /> � � � 7�ddrese _' Lot Hlock ' <br /> CSty ' Phone � Sulodi4ision (Platj ,�_ • <br /> ' • lzehlteet/Ee�lncci ' � � �. <br /> ! ti . `J� City __ Phone Netes i IIounds (Unpl:.tted) <br /> ' i - <br /> , <br /> � ;, Contzactor _.. _, ' Sec. Sr+p. Rqe <br /> . , . <br /> : :. . � Mdress _ _ ' � ' <br /> . • . � <br /> 7 City � Phone � Bnilding Use _ ' "� -{� <br /> , ,.j . .. .. . . . . . - ' . \ <br /> btate License Nc:aber Describe Wozk to IIe G�ne .�` <br /> �i __ , <br /> . r � <br /> • : j Ltpiration �att ' �'� � <br /> �•• : ' � Sl�'TCtf PI �T PL:ti� RELON' • — ' • <br /> �: + : � ' •. . . � Use of Dui'.dinq _ <br /> . , , . . <br /> � � ' : ' ' , ,.. �tiew ❑ Addition � Repair/RenoG�.l � <br /> �' <br /> . .; • . . • � . . � <br /> � i. • , . . � Valuation of Con�tzuction 5 <br /> j � <br /> .�- . �� - . . ., � ... ' • « . . . PLOT PLA.V REQUZ?tE�iE:7T5 . . ` - <br /> ., . . . . . . � . �� <br /> � •_ � . . � : ' - • Ipdicate lot size, natee of streets, <br /> •indicatc locati-on and wiCth of <br /> . ' � I • " = � ' i - allcys, loeatc nr000sed ar.d all � • <br /> . ;•� ' ' '� - ' . � ' � existing bnildiaqs. sho•.+ distances <br /> - � • �: . to property lines, show diatances <br /> . ' � t . .� ^ ' ' • _ between buildings. <br /> � . - _ <br /> . • . Lot size x_ _ <br /> � ' ' . • . . Lot arca Sq. FC. { <br /> ..i- <br /> �, � S12c of Dl�g.-- Sq. Ft. <br /> .� �' • . Numbcr of Stories ' <br /> •,; Ht:sement _ <br /> ,`�,'� �. Signed Py a'. � �f � <br /> , j' . � . • For <br /> • . ' � � ' Owner Phcne _ <br /> ' DO :10': {C:iTTL �-LOII THIS I.?:7E-FOR CITY USE OfIL'! __ � <br /> . i <br /> Date Received �' � � Otr_ Zonc ' <br /> ' Plan Chec;: :7ur.ber ' F1re Zane ' � <br /> Valuation ( � "�C '.� �� Occuoancy Croq� ' <br /> Pen+it Fee (Lr� �` ' _ Type oE Constsuction <br /> llan �her,k Fee Occupon'_ Lo�d , _ <br /> ! <br /> . ' Ybtal t'ec bue ll l 6prinY.lcis Requ:red <br /> . Datc ]ssucd •f, !" - J__�_ • • : . � � <br />