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CITY OF EVlarlill' <br />DIa'Al:'ITII:HT 01" C0:ZIUNIT'Y DEVELO2MLTIT <br />DUILIMIC PEWIT APPLICATION <br />DATE 5- //" % z— <br />PERMIT NO. <br />VALUATION <br />PERMIT FEE 2Ir <br />ADDRESS OF CONSTIICTION WORK <br />LEGAL DESCRIPTION: LOT _-5 _ BLOCK <br />UNPLATTED DESCRIPTION: <br />/� itEl•lonl:u <br />BUILDING DESCRIPTION: NET _ PDUITION lR2�If— or REPAIR <br />OCCUPANCY OR USE <br />NrICHTS IN .STORIrS <br />IS THIS A CHANCE OF DUILDII:G OCCUPANCY: YES <br />Piro: <br />CONTIV.C'I0At <br />fs� <br />- 014011 _ <br />HAI1,16C MAILING <br />6DDI;1 Sut Awmrss SCcl7 e <br />3 PHoilr 1{lC•flH:lt • : — > 0 <br />ruolm. rut-mrR 3 S - 79 _2 _ — -- <br />CONTRACTOR'S IJMW: NUIM—M <br />SICNI.TURIAQ-4� <br />NOTR: THE Art'LI , :T MILLI, PILI, IN iim, AI;O 13 I:IA1::i CU:iP7.Gi'IfT;{ TCCLCU7::.^. T]iC PLOP MAN <br />SKETCH Oil ItriPJt CS' THIS S11:T1i9'. T'P'.i /ll'1'T,TCt1;7' T.S 1:1'.r'1''ONSIBLII roOi ALL Ice'0W'o%TIO:I V11MI <br />IS PURJJIfiHhil 0;i T15' GPPLI(::'LT0i:, /uD' CU.•'.J:CI:S IN '1'IGi liJ;iO!:i:'TI0:1, 1'L0'P P] �N Olt 11UILAIIM, <br />PLANS ; IIALL 111: S1'1'1071i1) TO 'i11E It:S1'i?Ct1IGc1 DIV- SION FOR AI'I'PC)"VAL PWO11% PI:OCEIiDI::. <br />WITH THE CONSThUCTION 11011K. <br />APPItO;',IL: , <br />10 I. Pi,!1IHJLNG �/� r� �f ,' rclry pu•� y __ DATE .Z— -- <br />2, HNGTE.HERINC <br />9'1JiPfIC nlI'L3IU:: _ __,� <br />SEMUR 10:I1VICI, <br />PU1i1.IC M..ltl'IC6 SEGI'I( is <br />3. IN.SI'liCTlnll DEPARTT;CIN.' <br />4, 1I111: 11AW 11A), <br />Non1 : ALL CO:J;U'I;nC1"foil 1•:OI:I; OHAL7. C0::1'1,Y I'll, 11 APPLICABLE(:uHl:6TV6F'LVtpg*II1CS, AND <br />INSI:I :11WIS APPROVED FOR BUILDING P RMIT <br />