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Jun-01-2001 08:.13om From-tITY �� ORONC i6522464616 T��:5� P.002/003 f-236 <br /> y <br /> Tota! Fee: $ ���.�y l� Date Received: �.� Z�-�j <br /> fiatered 13y: Permit�: ���( <br /> . <br /> '� I� CYT'S�.QF Q�tO�= BYT�.DING PETt1�IIT APPLICA�QN <br /> ��' �IS�-� �9--��G� <br /> . Al1;inParrnation must )�,��i�baiittcd iu fu]1 before plan review wi11 b.��started. <br /> `'.�►l�xrse print.aIl.ir�forn�ation) <br /> . _ --�........:.�.....__.�..:..�............... � _ ----....�...._ :.�__ W_------_---- <br /> � 7`HE APPI.ICAN"Z'IS: {citc�e one) OWNER OR 41VTRACTOR ' <br /> , ; � � <br /> JOB SYTE;ADID�SS: ��`�;� C.C.�.Q,�'�U C��'ZC�� ZIP: �`5`5 �y�` <br /> � N�ME OF 4W1YER: �1��%"��CJ F�OI�s (�o��� ���--�7/-�r�� <br /> � twock) <br /> NIAYLINC�ADDR�S►St: �`?�-- CI1'X: 21P: <br /> � C4i�1''I'RA►C'TQRs . �,ea�t�u����r.�-P�z� PHQ�; �:-��"!3- �/l0 . � <br /> Cp�1TACT�'ERS.ON: _ '-' MOSri.E�PAGElt: , � . <br /> MAILING ADARESS: '7CJ �'`�` , � CITY'• Z�'P� �,��F�f'l � <br /> STATE LTC�NSE: k >,,, ., ..... <br /> �'#�6'�33p <br /> ARCHITI�CT/ENGII�IT�ER: . `• -- PHQYE: <br /> 1V�AILING ADD�TLF'.SS: - CYTY: ZIP: <br /> N�;_ - � - -- �G�S�r�u,zzQN#� . <br /> 7,YPE Q�'�W4�R l��w � .��laiuv� Ac�ssory S�u�turc <br /> Move . ` `R,�madel/Alteration Land Alter�tioa <br /> PXt0�.5�D i�'ORI�(describ�s��detai�: <br /> 9TQRTES�:______�:� ��'=.�T OF EACI�FY.00R; �'� _ <br /> �. <br /> NO. OF�E�ROOMS: �`-, GARAGE 3TALL8:. ATT: D8'�', • ._ .. .. <br /> : ,,.: :, , ; � <br /> ESTI�IA�'ED CO1�IS`�RUC��ON��UATYON(excludtng lanc�: g /o'��,��d � _ <br /> I bereby.apply�or a�iu'�ldi�g�tai't�aad I aclmowkdge:that the infotmation abo'��e is complete and ; <br /> a�cu�a�e, chat t�e wo.rk wiU �e�i��oriformance with t'�e ordiae.aets a�d�od� a���Cit,y and wi�eh <br /> ttie State&uildiag Code;:that�;:�rstand this is ao� a pe�nit aad work i� nai co scart without a <br /> p�rmit;.arul that tha work w�1l;lie:��t aceordancc with the app�ove�glan. . . <br /> ApFL[CAINT'� �Y�N�1.TU�: . UAT�; +�� <br /> NO3'E.� ` e���1t�'�equare se�arate pernti�appr.oval by Pa�ic+�`Depu�ent And <br /> City Cortnc�l6Q days pr�o��ta��e.��event. Non pe�m�tted events will ►�ot be al��wed. , . <br />