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-q-�S Datc Dived; �o <br /> Entered �y: Pexsrrit#: <br /> CITY OF ()RON® m BUILDS ; PER.NRT APPLICATION <br /> AD information must be submitted In mill Pef®rt plan review -il be started. <br /> deme print atl i 0rnaa�oaa) <br /> T= APPLICANT IS: (circle aIle) MM®R Co CT- 01L <br /> JO' SITE AMS: CR�o CDZMF <br /> 1: <br /> NAW®F® : C&-CS OM . <br /> (work) <br /> gAgpG ADDRESS: <br /> crry: - <br /> ZIP: <br /> /C®dAV �pi�S�1.Sa�W� W «��o���p PHONE:: WS1- ALog <br /> .r1tiVLO�4�8-tA■CT�s�.apttww�� 111•��®: �' 1� 'f ..{M.O �prv�w'wgY//�a AGER; <br /> • ' ■•�'�a�-Y qi iTJL : 1 I�D 4[.riJ� d.C. u�gs\ �l�i 8a V11 ZIP:.5511 <br /> FATA&LICENSE: <br /> ARCHMME GMEER: <br /> KAMM ADIDRESS: Clrft: --- ZIP: <br /> NA1 M REGWRATXON# <br /> TYM OF WORK: New Addition, R�ss®ry St�ctutt <br /> Move Adel/Alteration Land Alteration - <br /> PROPOSFJ)W (describe in n rj <br /> SfRa, _ SQ. T68EACH <br /> n(w) <br /> R.- <br /> NBEDROOMS: <br /> GARAGE STM <br /> GgAD ' <br /> I hey apply for a building-p=it end I ae��rledp that the infonnadon above is complete and <br /> scutate; that the work will be ia;o�oman='**h the ordinaaases and rpades of the City and with <br /> the State Saliding Code; that I undmtmW ft Is Dot a Pmmdt and work is not to start whhout a <br /> permit; and that the work will be aa'dance th the-approved plata. <br /> A"MCANT IS SIGNAL: GrJ a <br /> NOTRI EM&ALHwa events regAdre sepowe pomm 4pproval by Ponce Depaa rat and. <br /> CIO COUncO 60 dqs motor to the event flan-pomdttcd e►eals wdll not be auowgd. <br /> E/6 'd?Ai 68EL 'ON,� - 2u 11iwaad sauor a4P13 _ ,,,WdES l ,5006 '6 'unp . <br />