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Err <br />(4Y5J 257•8810 <br />Plan Check No.: <br />Application Date: <br />?anaM: <br />Owner: <br />Job Address: <br />Proposod Use: <br />Descdption ol Work: <br />Plan Check Fee Paid: <br />C0312•002,003,004,005 <br />12l2/2003 <br />C M I INCORPORATED <br />LOTS 1, 2, 3 8 4 <br />NEW I;OUSE • BASIC 2244 <br />4 Cp� 30.00 = 120.00 <br />The building pertnit appliwtion for the above-refcrenced project is being conditionnlly accepted (or filing <br />pending the determinn�ion of its completeness. <br />If the City review determinas that any additional land use npprovnl or any oduitionnl inCormation is <br />requircd to complete your bulldin; pertnit npplic�lion, it will be necessnry ro submit this additionrl <br />infortnation or acquire tlic ndditional lind use approval prior to your application being considered complete <br />(or filing. If no c!her land use approval or additionnl informa�ion is required, your building pecmit <br />npplication aill be considered filed ns o(this dnte. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING TME DATE OF APPLICATION. <br />/�� � <br />----._, <br />Signature <br />12-02-0� 5:11PM <br />N 031�002 <br />4 PC <br />�.�iR p; 120.00 <br />TOTAL 120.00 <br />CHEK 1�0.00 <br />A OM5681 <br />FILE COPY <br />