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May 24 .10 05: 11p Trebil Foundatifon Inc 3209748896 p. 2 <br /> � /•/�/ '//� <br /> J / � " <br /> "i'ot;�l FcC: $ Datc Rcccivcd: <br /> Cntered F3y: , Pennit#: Q�d l �-D6 3 S __.._ <br /> 0,k- �(-� i 5 s�r� h�^�k 1 o rt <br /> C'IT�' O� U1R4N0 - �3YITLIDING P�:IRMiT �PPI.YCAT101�1 �o �� f�vrtt�-� <br /> All infunnation must bc submilled :n full bet'ure pl�n revicw w:ll be st<��'ICU. <br /> (plcase prinl all inlornla�ion) <br /> '1'prl1�. APU'L,1C'ANT IS: �r.ircl�onc) O!'/N'Li,R V C'�N"I'IIYAC�'4lR <br /> .��rs sA"e`�A�nRFSS: ��D(� �� L �,t.l,U� T.��: �' <br /> Will this 1�c�radc of�umcs, Remodelcrs Showcase tiamc or uQ�er Drspls►y �ome'. <br /> ❑ YCS NU /fYr.,�,�f.�nr.c:inl eVcrd ritYrnif IS rCryuln'rJ wi�I�NoIICc`Uc�(xn-!nr<:nl urkl C�i�y C.'u�nvcil u/�p���vo/ <br /> 6/1 dnV•ti�+r�rw 10!h�!r.ve�tl. S�eUlJ«huy,vs�'«�wi/I h�ra�quirKil iinLex.t a�plic�a�rl dencun.�lrUle'.4 <br /> .ruffeienl a.+�vila pni�kin�iti wuiluble. Non/�n►�nillrcl c+v'!rrl.c ur�ll nu/bC UllOwn,fl. <br /> N�IWT�r��VNEft:�OE���'_� _S Plf-�ONF: (homc�)y�!'—L�Ll�.r`t`�� <br /> � � (work) <br /> le+'d.�.AI..�N(;AdaURESS: ��� 153�c�,7�7J�(� C1TX- . �-U►�O�. GIP: �^ �7� <br /> 4:n1�1T1ZAC'I�OR: ���TPJ� ��Z�Vil,l�� � �"'Pf[�)NC: 3�_7"�> 7� � <br /> aC'C)NTA��C1f'PERSON_ MQBIL�lP GFR: <br /> MA�L6NG ADDR�SS: -�./T . C1TY: - �IP: �� <br /> S'ICATI:LI C�:NSH:: # Z.Q�-t-4-(�� EXPIRJITION DA1"L�:_,,�ZG/ �. <br /> ARCHMT�CT/CNGINi:TR: 1'HONE: <br /> l��i[LIN(:A�1DYtESS� CI'['Y: �'[C': <br /> NAM�:: RL+'G�ST�A'1'AON� # ,_ <br /> 'H'Y�'E ��WORK: Ncw Homc Addition _ Acccssory Struclurc ___,,..,�� <br /> N�ovc;H,orcie Remodel/Alteration(ic; Sidin;,W���dows j _ <br /> Any esrtYl mpvemerlL may r,cc�tlire MCWD rCvj.Cw zncl pexm�Ls ! <br /> 1�1R POSED WORK(des�ibr!ir�delai�: ���}L.L. ,�_ � �IZ L �.C�q-LL <br /> ,.._..����.�}q2S 77� ,���rL?� �tit��� 1 .�d��� v�� u4Ca� <br /> S'Q'QDatl ES: SQ_FEET OF EACta IFL,UOR� ,_ <br /> NO. �r BEblt0011�1S: GARArE S'r.hLLS: A7TACHF:D DETAC�$�:D <br /> lC.ST91bIA�'�1D CONS'1'IZYJC)CION VAA.:fl1A'Q'ION(cxclu�9ing land): � l,�J, „J <br /> l llcroby apply for a builtlinb permit�nd I�cknowlCd�c[hat thc ini`orma�ion abovc is cc,mplc�c rynd s�ccuraic; <br /> U�t�t Uac wo�k will bc in conl"orm:utcc wilh�hc ordin�nces:lnd Co�lcs af il�c City and with thc S�tc Building <br /> C:ocic:Ihal 1 wndcrslauzQ lhis is�ot�Dcrn�, c�work is nol to slAtT Wilhoui a permit;and�hat ihc work wil{bc <br /> in accordancc will� tbc appro�cQ p . /� � <br /> , , � � _ . ,. 5 -� - �D <br /> A�'1 1,ICANT SSiCNATURE. __� _, _._, f1A`l C. , <br /> � ^ <br /> ;t i <br />