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<br /> � �r a`�t�.k" ���t�� ° CITY OF �OROIiO.' . ,, :; .. �r �.
<br /> `� �:�n � " � ;BdILDI1�1G PERMIT APPLICATION - ,��" x"'
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<br /> �A� �t o ,u<: ,+ . � �' ,,. � .,- 'r:, � . �
<br /> ih ,�ermit n.Application Requirements e `� � ;"����
<br /> 8uildinq,:permit application - to, tie 'filled out_completely and siqned;: �
<br /> `��"Se�s��of�constrsction plans to�include the following ��'r1d; 4�'
<br /> ) � Firs��floor, plart": 5 °��r�.�.� .: „ ;.�, ��� �� .
<br /> b)�Footi`ng;�and .foundatfon plan � '��• �`*W
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<br /> c)'� Blevatid'ns (of;,.aYl sides); � � 4��a�;
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<br /> d`) �Alall��`'sectians-�'and 'cross �sections, - �,,, ��.
<br /> ��e)�;Detni�lsF��,,= stairs-and�'any' special connections. � ', : ,=� q:� `����,
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<br /> ert fi�ate�`z�f�,survey,..�in�luding= hardcover calculations and grading andr�
<br /> � c�Y�niri�`qe,�plans'as .required. ;:` � ' �. � ; ` �: �,��.
<br /> 4`, ergy�ctilculations_�- �form�provided. �' � ,. � .� ,�� �
<br /> �� ,Septi'c�report.'`.and design�:if ,required. : ' � , ,�.r' ?�r�;,�
<br /> ���„�Ml,?IOP lIIIST;B8 SU9MITTSD IN'FQLL BEFORB�PLAI�_RSVIEii i�1ILL 88:S'1'1�RTSb�`�
<br /> . W ��` :'- ti� _.i ��� �������� ��� �������������������� �� ��� C A� ��.�
<br /> a '� �"',�h t «:`'x�, � ��THE �APPLICANT IS: .(circle�one) OWNER or�;CONTRACT���,��k�`� �
<br /> ITS�AnDRESsr .�:�"�z� � O ��:o �-.�.��v ,1�t. zIP. � #��� ���''
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<br /> i�DESCRIPTION "'°LOT: ''s :BLOCK: ADDITION 1 �. , �. i�x ",�,�°„�,"
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<br /> ;OF� OW�IER:"":�aL:tsS'�T.Z �,yr1.{i•uc�.."� -PHONL�t .SS�I"G`<a'.i`�I.",�"r�'��h
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<br /> v ` �G�DDRBSS. ""� CITY '"ZTP' � ' c:� �" '
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<br /> , � Rz`��°%/yFcli�isvc{,�,..�i;.��.u�sR'e: PHONE. y7`� ./ZS (''� �`
<br /> ��nRB s�+���•z`�9s's (�3cK� �°-�31a �f��f; cITSr S�..erc:•ac1 � zlP.�x,�S�'�..
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<br /> CT s,.��t°�l�it''r.'°%7/s,�r S " a .,PHONE. �.�-^�-�.:.�.�k x: � �`��d��.�
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<br /> DRE$$ � 'G�♦ v�h 9Y�tx � ►°'�'y,l CITY ZZP '�"�-��w��
<br /> � F���'.�� „� '. ,- ,,, .^ �,;;�, �� ,�r:
<br /> � ,�E�� F F10R1Cs�N�ew �"� �� Addition-�.r � � �, �Acces'sory':�Structure ��� � ��Move� �` +� �'
<br /> f�� Demo�f= Remodel/Alteration Renonate < -�� ��� �
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<br /> � � � '9�'�f-�.�^ ,r.� �� , �., �;7, '.:'� ,� �-��,� °r a ,+ ��'p�'e e. �a
<br /> 88rr(des�cribe in detail) �Noy c,�.tiy � �t � '' {�'�ri � ���h t ;
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<br /> Sf, .+ ' ��'��'�.�_ '' �BLDG ,SI2E , ..:L: � W �` t _g . ab .�,"STORIES2�'`�,'"�±. ,'�,�:
<br /> r;�+at �+�c �` ��NO. OF BEDROOMS �` rC'�RAGE STALLS w ATT � 'DET � �.��^'
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<br /> O�STRUCTION�VALUATION (exclud iag land) / $ y 3 c0 �C " " `p f 4�"��
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<br /> .� Eo �ak bui ldinq permit'and I ,acknowledge tliat°the informat o
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<br /> �dmp�le�e�and�.accur�ce, �that�the .work will be�.ia conforniance�with th ,.�'
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<br /> ti cod'es�=�L,,the:�City;�:R and;�.with;:the �State;'Bui ldinq :;Code,�;�that�I`x.
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<br /> � 'Yi� s �"'� ot" a,,permit anc��wo'r,k is,gnot to,start without.a permitp and�
<br /> �,�b��in accordance�wi,thi'the'�approved plan �*'�`s� �t��''�'� � �`
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<br /> I '�IfRE S �'►" ,�, � _a DATE t /G F
<br /> Gplease—€i3� out t�ie r ver€se'�de�o �tF�iis�form)� � x 5 �.k-
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