�E����" ��'F�I���AT���;
<br /> �:���:���+��r��H���+���:���.v���r�����������������r��������c�r+�:
<br /> _ ��,�Q���,�r��,�������.��������
<br /> �2�FC�C�cf�r�t., �vereti,:1N�982t31 4���57 881� ��C��5���7=88�� �wi�u.�uer�ituva,�r�
<br /> SiT� q,.��5: �� PF�C7��'ER'fY TA3t#f 1 :
<br /> '� �' �i� ' ��'(�7t� ���£� �p
<br /> LEt�a�t�fdr neW cot}slrudiori: 5h'nt�#?(a#7sahdivisid�i Lflt Na� �at�a�t3:��t"ffiP[ong leg�l tlescriptir�nj
<br /> ?�'VYh��R �;. .. '� ,,�}'"� ;Fh.�n�E-mai1 �'�� ' 'c�s;,,�"�' + f.+�J��
<br /> ddress L3ityt�t�tel�ip
<br /> APPL,I��NT. Ciwner Owfier���tgent: Gdntr�eY9r ,,,_,Gontrasto�'�ag�rst 7ena�t{mi�rprov�as a i�ne�nt�ns�nrtrorn t�e�mer cc ao,�Tk;�,u�e spmeey
<br /> Gt3Al'ii�,4CT�7� ' �taEe k;�� # . ' � �ity Bus,;;L��.���.�� �`:
<br /> Ftdtlrss�. C3� ' ��"'` �� ' ; ' . Piiot�sfEmail � _^ .:� :5�+ ` ���3;
<br /> �'EtVAiV BUSt�lESS fiTx1M� - Gt7�/RC�?FOFF P�RM1T
<br /> Qa�i�.: ; ,;��"'"�.te.+'``1
<br /> Ptso��l�=��� G.'L�YY'���+E.�C� ':, . : � �.
<br /> �UlE.�31l�1�'��RN#�T a�PPL.1��Tt�N ` C'4�I�1�"���1°P�;10E�"tit��i2t� :
<br /> ��;�u��u����suai��+,�:_ ��"t�. ���a�r:se�c���:. ,
<br /> P�o�+����i t�s�of#�utl�i�n�i �es-����tr(c. atkr�r
<br /> �u��e�incJ�YP�.:''���te Family�C9lip1e'� Tiiwnh�ause. Mu�ti-�a�jt �„„„„�orrirnercial
<br /> '� e�� ro'eGt:. Netiv �dctition F�er�ottel Rs air �1. Si �rikler C7e�motitid' Chart o#CJse.
<br /> _._
<br /> QESGRIPT'F4I�E i;l�WCI�tK(additranal spsc�t���id d urr xt�e�ack1; _ _
<br /> � ��.��.r� ,� �= �� � �
<br /> MECt�,IkN1�AL E�ERMIT AP�`E.l�AT;tQ;� PLU1{��311�tG i'��M['�`APP1»��.filtt�[
<br /> _ _
<br /> type�f Praject,;,New T,�,,,Addn` ',,�„�,,,Aiteratioli�R�{sai► 7�i�P PKaJect: _,,,,,,,,Nevk_,,,Rddn ,,,,�t�eratl+�n_,,_I���tafir
<br /> �ho�N" '. �=ii€#ik�ur� 5how IMel�Tber at�+ires
<br /> K� 'air,handlln �zn�ts; 1`tiit�t
<br /> . raei��aix s stem� _ Batt�tirb
<br /> �as" i iri 1�avat ` �zsh b�sin
<br /> 1Nater ��ter 5t�aw�
<br /> ;�.�,s�r la�e kfitchen s�nk-�t9is cx���
<br /> _ . - . _
<br /> _ �aks `e ._ _ Dishwas�r _ .
<br /> : Gtc�#k��s_d er _ �tot�r�s vc+asher _
<br /> R�. e h�iad 1/V�#er treater
<br /> � � � - _ � .'�hau���n . � � � �9n�t s�er���._:�: ��..�; _ _•
<br /> . ..
<br /> _ He�t u€m , ���kftavu r�v��r
<br /> Unit�a#er Ur't���.
<br /> : 8oil�r . : t�ink�n Fxsuntairi _
<br /> �efri �rat�orl: �I,ar�r�drai�
<br /> _ 1Nc�otl�#c��e �rease�
<br /> ;�u�Y'� _ _ E��of�drair�� ` .
<br /> ,., <(�fft�T „ _ _ Medi�al�s,
<br /> SR�1N�4�R 1;SUPPR�$.�'il��l',�✓'1f�TE�` fxther: _
<br /> N�lrsb�:af H��d� C�ther:
<br /> 'i h�reby c�riity tbat l;hawacead::and exemi�ed chvs et?Dli�1"�n artd'knaw the same ta he Uue aa�d•Cptrect:IUl prpvisio�ts�'faws#rix3 uMTna�e,�s goyerr�+trr,�"fhis type o4 wcsHc wiH�a camp:
<br /> .h whetfi�r<spedfi�d h�rein ot:rat,t�Ye.g�nting'oi a:permit dnes not,presuri��tu 9ivg;eatkotity:t#:violatz ori.�ne�k`Me pro�stan,of"�ny othecstsfe ortcso2llaw re�aEaCirrg cpn�tnictlon
<br /> . Ths{a��uthoriEad Siy t8e awn'r of tMis PioP�rty to ps�Fttrr�-th8 wark fcrwTii�h appkicatinn is+€s�d"e.',antl t cwmplY�ith,tF+e Siaie Goniractars 4aw 76;2y R�W�nd.286:20�A�+17AC..
<br /> � _ �
<br /> .' � � �� ,��"
<br /> netlAuthor�zed,A�en"Signafur� Eq��s'; {Re�ti&ed 9�'2f!'f4)
<br />
|