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CITY OV fAl I:R'11' <br />I);11'AI;'I'll:iill' 01' COS AiNITY DIAI:I.OP110'r <br />CONSTRUCTION PERMIT APPLICATION <br />DATE <br />PERMIT NO. _( <br />DATE ISSUED -- "Z7 1— <br />✓4AlAlA'I'101i _ a20p — _ <br />Plil;111T FEE I''-vu <br />t <br />ADDRESS 0."• COii."+'TUCTWN 140111( tit"/1V <br />L1iCA1, DL'SCRII'TION: LOT BLOCK PLAT <br />UNPLATTISll DESCRIPTION: <br />��� �� ItEI•IODIiJ, <br />BUILDING llESCRIPTIO:i: NP.1 ADI)IT70N --{ or REPAIR <br />OCCUP:%l%CY OR USIi <br />IS TI17.S A CIIANCP. OF IIUILUIKC OxUP:a!C)':' <br />CONTRAC11011 , <br />PIAI LI I;C <br />AADI:!,'sS <br />P1(0'R EUl1AER <br />CONTRA=R'S IJCEN SE 14U1'i.;lill <br />11EICDTS Ili .STORIES <br />YES . NO <br />awt'EI, <br />MAILING — <br />ADDRESS <br />PDOIili lilli'IU:R _t3' ,1'S_-r�L � --- <br />NOTE: ,(T API.'LIC,`::'1' ..",i1;al i'I1,1', i11�;).T, /J:Otil' ]+i•':1C:;; C4:1'1.I:'i:a.Y II:CLIN)1::C TIiC PLOP ri •.N <br />S)CC'JC'i i1•S1'•. C'I;ii AI'i'7.1:C':_']' IS ALL I,:.Oi:?, 'i (1:1 UP <br />'•l 'I I.,.1G' <br />I$ 1'It.':i;:(ta'�:i 0?; /c'.:' (:I. ,':C': i Ill Tii:i ?(1!:: i •' ' � ' ' Iil; i]':iU••, 11.0'r Pl..'L. 01.]iIITLi,'th <br />S:!., �LrTl:u 'rn ';i:i. Irsr;:(:r) ,! ,• .,,; .. o: vI\Iclo. ro.. /,lrl•iln.al. DErn, rl�.. <br />azrn Tnl: coaisTl;.r.rznx r1D11:;. <br />APPLICATION RECEIVED BY <br />A1'P1;U"dL: <br />1. PI,11iRIEG /< _ _ DATE — ? <br />i, <br />2. <br />11/:fl'4. P1::..• I r): ...—.—.�_....�.___ <br />3. -INSPECTION D):1'AR77;ENT <br />4. rim: Iito nIA). <br />NO'Pr; /,)•L COa;;9'.;nCl']Oli hOI:1: SIIAll CO:;PLY 11I7'II APPLICABLE COW::;, 110'1'l:S Uti IANWIIIGS, AND <br />IHSII1:1:1 ) n:!5 <br />