Laserfiche WebLink
i.i � � vi vi�v�vv � v I��F!�VJ IN �l�/�°i/7o I`t.!/V � .'����� �V.�L�� <br /> t <br /> T��� ��: � I�ate lteceived: <br /> �t�sred �y: Permit�+: <br /> C�'�"� C�F OIt(�1�i0 m �3IJI�,DII�G P��T AI'�'�.IC�#1'YOrT <br /> � • <br /> At} �e��t�t°rn�t�on anu�t be sulbmitted �n Ful1 pefose plae� review �wfill be �tacted. <br /> �, (pyease p�i�at alt drrfon�ardon) <br /> � e..�----------------------------------..e..�_M__w.__..Me_..a.._r_a.-- - -------___�..�__ <br /> T][-� ��'I:ICATl1'I' �S: (cir�le one) 0'�RTT+iFR� �OAITRAC'��R� <br /> JO8 s�'x� �D�ss: `�-�S rv� ��Q\-e.. t�c�acG Z11P: S S39 I a� <br /> �, �t� o�o��: �fo�. C����.v�, � �a�o�: (�ome� 95a •y����� <br /> (wmrk) <br /> �.�ILIIVG t�I�i�.S,�: � CITX: ZTTP: <br /> . ' . , . <br /> . � <br /> co�v��ra�: �-e��.� �► ��.«tN r�o�: �s►- a�oy--.���-� <br /> . CON'TA►�T�It,�CDN: 1VI�BIL�/PACEIB: <br /> del�llJSJ.7L7�LlStw�i 1 1�� l..WnTM .0 ��-1'_ ��s��� 1��,��. ����1lJZ <br /> ��'Y'�►T� g..ICEW�: ��Ql�9.�� <br /> . ��I'I'ECT/ENGIME�I�: �HOA1E: <br /> Mt1II.I1�iG A.A]DR�SS: C�: ZIp: . , <br /> NAM�: �GI�'ItA`TIUN� <br /> 'TY]P� OF '4�V()l�: rtew �dd'uion Ro�essory Structurs <br /> �viove R�model/Alteratian Land Altsr�tion <br /> P'��P�SFD V.VORK(descrJbe in detai�: �c ����,��,JS � a �,�� <br /> ���.s� , �,� <br /> ����: s�.����F��c���: <br /> PiTO. OF �EII�OptOdS: G�AG� S'TAI.LS: ATT. DET. <br /> �.S'I''IMA,'I'ED �OrtSTRL1CTI�le1 VAI.UA'1'IOM(excludfng laan�: � �J � <br /> I h�r�by apgly for a building�rmie and I ac9ctwwiedge th�t tt�e information above is comp[ete and <br /> accurate; ihat�e work wi11 b� in s�nforin�nce with [he ordinances and �od�s of the Cicy �nd with <br /> , ' th� State �uildin� Code; that I uaderstand this is not a peranet �nd work fs not ta start ewitb.out a <br /> �erarut; �nd that ih� work w�Il be in cordance with the �pproded pfle�n. <br /> �PI.Y�AA1'i''� 3IGNA'1''CJR� 1DA1'� '7 ' �� •� <br /> 1W�T'E! ,� e a,��lo��s �vent�r�qufr� iepanate pernait approv�l�y �°�llcs l)epa�ttent and <br /> �t� Cora,scil6��'ay�prior to the event. �on perm��te�1 svescts w�ll net b� �ylowerl. <br /> Rarnivo,� Ti,.,,. C,.., �A 1 . ��D1( n,.: _1 m:__ r_ _ ni � �nmr <br />