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CI'l.Y Or I:Vl.P.M"1' <br />OMIARTM."NT OF CONNU IITY DEV1:1.OPMENT <br />BUILDING PERMIT APPLICATION `` <br />DATH <br />ADDRESS Or CONWITCTION WORT: <br />LEGAL DESCRIPTION: LOT / /0 BLOCK <br />UNPLATTED DESCRIPTION: <br />PrIMIT No. %e20S� <br />VALUATION <br />PERMIT FEE 20s% <br />7y <br />PLAT <br />G � <br />_- 11F:190U1ii. <br />BUILDING DESCRIPTION: 14L'W !!DDITION dr REPAIR <br />OCCUPANGY OR USE 11EIGIITS IN STORIES <br />IS THIS A CHANCE OF BUILDING OMMANCY: <br />CONTRACTOR kja-'u a-4 dfy*,efiJ <br />MAILING <br />ADDRESS <br />PHO;IE NUMBER <br />CONTRACTO <br />SIGNATURE <br />YES OWNER �--� <br />MAILING <br />ADDRESS �%ZST 77 <br />6�—zco � <br />PNONr NU1111ER .55- - /.3Sj< <br />NOTE: THE APPLICANT SI ALL FILL IN ALL ABOVE DLAI :CS MAPI.IiTI:IX INCLUDING Tllli PLO'.' PLAN <br />SKETCH ON REAR OF THIS SHEET. THE APPLICANT IS RIiSPOASIBLE rOr ALL IGrORMAT:ON 111ICH <br />IS FURNISHED ON TIU3 AMI.ICA'1'ION. ANY CHANCES IN TIT INFOWMATIION, PLOT PIAT OR DI ILDING <br />PLANS SHALL DE SUSMITTLD TO T11H INSPECTION DIVISION FOR APPROVAL BEFO E PROCEEDI1,G <br />WITH THE CONSTRUCTIO14 WORK. <br />APPROVAL: p � <br />1. PLANNING. IL.. /1. _. UATIi-- <br />2. ENGINEERING <br />TRAFFIC DIVISION _ <br />r WATER SERVICE <br />SMIER SERVICE <br />PUBLIC SERVICE SEarlpili /� <br />3. INSPECTION DEPARTIlliNT C-W /_ <br />4. ME MARSHAL <br />NOTE: A1.1. CONS'i AUCTION WORK SHALL COMPLY WITH APPLICABLE CODES j NOTES Oil DIWIINGS , AND <br />INSPECTIONS <br />