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MIT OF )WE1l1:111. <br />UEP%A:TID n* or DEVCLOI'FIEVT <br />1311.1I)ING I9:1::11T APPLICATION <br />ADDRESS OF CONSTUCTION WORK <br />L1;CAL DESCRIPTION: LOT :2 UTACIC <br />UIIPI.ATTrl) DESCRIPTION: <br />PrIMIT 110. // 3 <br />VALUATION �— <br />PrtM11' FEE�- <br />REMODEL <br />BUILDING U1:SCRIPTIO\: IZEM _�4nDITION dr. REPAIR <br />OCCUPANCY OR USE. - LZ'=i • IIEICIITS IN STORIES <br />IS THIS •A CIMINCE OF 11131A)ING OCCUPANCY: YES NO L.� <br />CONTRACTOR <br />HAILING MAILING <br />ADDI;�+SS f �Qr% t] ���y�J nvvltl ss <br />w <br />COATMCTOR'S LICL•'I:SE 11•:nur, <br />SIGNATURE <br />NOTE: THE APPLICANT SLiLT. PILL IN ALL AROVr DI1.I iS JO>II'L,TELY INCLUDING Till' PLOT Pl2a; <br />SIIETCH 01 Rr'.11 OF THIS 1:IIEGT. THE ArPLICA IT IS ItEISP0::SI111.E t'OR ALL INFO . L%TIO I 1,.1!ITVj <br />Is PURNMIlliiD O:: 'f1IP. API'..•ICATIw. ANY CmimrS IN TEi? INF'ORNHI0\, PLOT P7.(Si OR I1III•DIYC <br />PLANS SIIALL W. SULMITTLI) TO THE INSPECTION DIVISION FOR APPROVAL BEFORE PI Ins <br />IhTll Tlir CONSTLUCTIOA N::IUC. <br />0 <br />APPROVAL: tCf <br />n <br />PIANNING.� <br />1. <br />2. <br />3. <br />I:NGINrF•111=1 — <br />TRArrIC DI slob xy <br />wNfrR sI:LVICE -- <br />slawnl SI:tiVICG - <br />PUDLIC SELVICE SECTICTIN <br />INSPL•'CTI NI MPAP. I'M 1. ! <br />9 { <br />44. PIRL MARSUAL <br />DATE <br />0 24— 7 <br />LK�! 73r --- <br />NOTI:: A1.1. CO "'TRUCTI0:1 <br />V101:1 SIIALL CC:IPI.) <br />WITH APPLICADLI? <br />COL'ES 1 <br />NOTES Oil DICAIIINCS, AND <br />INSPGCTION3 /�/�c� <br />/V�� �I <br />EZ . <br />