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. �.i � �. v� viw�v.. � vts.�t►aWl4J �/7/�'t/7o 1'f:l�l1 � :'l1�/l�� ��s�L'� <br /> Tot�al F�: s__ Dat�Itece�ved• <br /> �tsred �y: Pemnit�: <br /> . C�T�t �F �It�1�0 � ��,DII�� PE�ViYT AI'IP�.ICA�''tON <br /> , . <br /> � At} ��fo�°matlon anust be submitted in Full�fo�ce plan review �vill be started. <br /> �, (p�ease priRt all dreformatdon) <br /> � a..�._e___� ____...__-�----------__..�_M__..�.___��.__.o.------- --_..._.__ _.�___�,..�__ <br /> T� ��'LICATd'1' �: (cir�le one) O''9JATF.R CONTRAC"COR � <br /> _... Jo� s�� ,���ss: �y a�l �a�d���c�.� � �r�: s.�9 J__ �-. <br /> �. Pd� OF' oi�VNER:j���101'1'(�e�(" �ii�A�: (home)`l�a•``��).b0�� <br /> 1Vi�RILI1'�G t�DDRE5S: � CITY: (w�rY) ZYP': <br /> _ � <br /> ' , <br /> eon���c��: �-���,n�'�,� �«t�_______r�o�: (�SI- a�y-•�.y��� <br /> . CON'T��T$��t�CDN: 1VI�BILE/d'AGEIt: <br /> � � MAII.�iG A�D�E53: 19ab Cou���,d.0 c�,�.es-� CITY;�v;�l�. ZIP: SSIi� , <br /> ��'Y'AT� LICEAI�: N.��1;,098� <br /> . �C�II'I'�CT/EATGIldE�Yt: PHOAIE: <br /> M�#�I.I1�TG AU]DR�53: C�'!'I�: ZI�': � . <br /> NAME: ItEG1�TYtA'TIUN� � <br /> TY]P� OF '4�V01�: New Add'uian Accessory Strucaus <br /> Mmve R�mode]/Alteratlan L�nd Alteration <br /> F�OPOST�,UU V.VORK(descr�be in d�tai�:_ � (,��(��� � ��0•� <br /> � � �l._.�����.Q ,1�.�• <br /> .�...� � <br /> S 3��0: p7�.B a�i d W��i�L di�iAJ�J�i � <br /> P�fO. OF �lEli�Ot)ldi3: �t�RAGE STALLS: ATT. daET: <br /> E�'!'IM�1'E� C�Io1STRUCTIC��1 VAI.Y7A'TIOId (e�¢luding lanrn: � �y ��(�J�� <br /> I 1��r�by apply for a buiiding�rmit and I ac9awwledge t�t the information above is c�mplete anc� <br /> �cecurate; that ehe wock will be ia��onfomna�nse with the ordinances and �od�s of tk��City �nd with <br /> . ' the State �uildin� Code; that I uaderstand this is taot �p�rmet and work is not ta start ewit�out a <br /> porar�it; and that the work will be in �ccotdence with the �pprov�d pl�n <br /> �PI.I��►r1'1''S SI�NAT��: ,q DA► +� �-��,U�d� <br /> 1V�7'E! P e ef�em� �v��at�rdqufrr sep�tYate peronit approv�C by ��l�c� Dep��b�er�t�d <br /> �[y Cora,sctY�6��lay�prlor to the event. �lon p��°m�tt�d svcacts will not b�aylowed. <br /> Rnrniue,� Ti�.,,, C„« �A 1 . ,I�D1( n,,:_ 1 m:__ r _ _ ni � �nmr <br />