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CITY OF IiVI{I;; f f PERMIT NO. <br /> DEI'Ah'111l. NT OF CM;MNITY DEVULOMIENT 61 U`' <br /> BUILDING PEIUII.1' AI'1'LIC: HOX VA,UATION <br /> g PER1,11T FIiE <br /> DA'fl: <br /> ADDRESS OF CONSTU( I'ION WORK <br /> LEGAL DESCRIPTION: LOT oZN,47 71 BLOCK PLAT LANDS /sr fl/>D E//FRfTr <br /> UNPLATTED DrSCRJPTION: <br /> 1. <br /> REMODEL FOUNDATION FO/( <br /> BUILDING DESCRIPTION: I:EW ADDITION or REPAIR /4obiNe- iN e+ c <br /> OCCUPANCY OR USER6 S/ /)( A% 7- HEIGHTS 1N STORIES <br /> IS THIS A CIANCE OP BUILDI:,G OCCUPANCY: YES _ NO !� <br /> CONTRACTOR J C ,9 R M M A-E-L <br /> HAILING I(AILING <br /> r , !I AV[- <br /> ADDRESS 2P- fie e r( r--f=rlt 1- F 2� ADDRESS <br /> PIIONr Numan oGg�'G PHONE NUMBER <br /> CONTRACTOR'S LICENSE N111-MER 4oAlt-IR _ f <br /> SIGNATURE • -- <br /> �� <br /> NOTE: 'f11E APPI,ICA;:T i, :1.L DILL IN ALT, ADO\ni DT,A?:C: CO:•S'LT:TELY INCLUDING THE PLOT PIAN � <br /> SKETCH ON REAR OI' THIS SIIErT. THE APPLICANT IS RESPONSIBLE POP, ALL INFO!'IR:ITION WRICH <br /> IS FUI:;M;I1ED 0;1 Till; AMICATION, ANY CHANGES IN TI?!i INFOR?•;AT'ION, PLOT P1J1l OR BU1I,DIIZG <br /> PIANS SHALL HE SUMMED TO Tlil: INSPECTION DIVISION FOR APPROVAL DEFOR P 10CEEllIWG <br /> WITH THE CONSTRUCTION WORE. <br /> i <br /> APPROAIL: <br /> DATE 3--el- <br /> 2. <br /> -2. ENCINEERING <br /> TRAFFIC DIVISION <br /> WATIM SERVICE <br /> 1. M SERVICE -- <br /> PUBLIC SERVICIi SECTION ---- <br /> 3. INSPECTION DEPARTMENT � � " ' 7` — <br /> 4. FIRE MARSHAL. -- <br /> NOTE: ALL CONSTRUCTION WOM', !MALT, COOP] ,'ITll A111'1,T CABIL CODES, NOTES OPT DRAWINGS, AND <br /> r <br />