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_ _ �' � U�� <br /> . � �� � j � � �� �� � <br /> , �� ;, 1 1'� I�ate Recei,ved�_ '��� ' _`_ <br /> Total �r�e: $ -•� -�} � ^ � Perrxtit#: - -- ' <br /> ...__?�� � � � _ <br /> Entered BY: ,_`_.__.__..__�_� i'� <br /> ����r (.�I�' O��"�fl � 1'� � �ING P��'vXIT APPI.I�A'�CI()� <br /> _D,iX infarr�ati�n must be �ubmitted in full before plan revie�v will �� �t�rte�. <br /> (�lease print all information) <br /> - <br /> - -------�-----� - <br /> -- -__---------------�------------ - <br /> T,� App�ZC�y� IS; (ciscle one) OWNER OR CON7RACTOR <br /> J'O� SYT� ADDRESS: _�,-Z <br /> `j3 �e�-ti c(a.�2- �. ZIP: ��-� <br /> � � .l � �.,..,.-�a.(�e s Y�IONE: (hozne)?1�-���i�. ��,F, <br /> N�'v1E OF OW�IER. TT II o.,..� (�vork) _�-_.._--- <br /> NIA.ILI�!'G A.T1I��ESS: �'o�o taa...,�-( i�� o <br /> CITX: -}�l [.w Z�IP: �sy , <br /> �� d,,+� PHONE: �� S��/5�_ <br /> CO?�TRACTdR: /►'I S� r �v; �'� �B �/PAGER: LQ�� s <br /> C'+7i�d�'TA{:'Z'���L�tSON:�.I 1�1�--�n nu.� Z,IP: ssY _ <br /> ' CITY: �_N��.��-- <br /> 1��1A;��'G ��7DKE5S: uyT ��;,,�rx.�.,<< < :l-e f� J <br /> �T a i��; �ICF�TS�: # z o!�i f�0 5�- <br /> PI�Oiti�E: 7�. 'S`T �- <br /> ARCH��i'EC'�'/�"�1GI��EE�: 5�.D l�.G�.� �-e G �4 CITY: ( ��. _ZL�: 5�,�'�-- <br /> iVIAILZNG A�D"�tE5S: i i, o � <br /> � REGIST TIOl�i #,_ _—�— <br /> NA.�: 5�� le •.. .,.� <br /> Addition Accessozy Structuze__ - <br /> TX�'E CJF tiYOR,�s.: Ne�� Land ,�lter<<ti.on <br /> �ov� RemodellAlteration <br /> a <br /> PROP45ED tiVORK(describe in detain: � <br /> __�__--- <br /> . ti 1.�. :zr-� <br /> cn ff'�LG�.�3� ��Q <br /> 5Q. k'EET OF��C��OOR: �..�� <br /> STORiES: ��.. G��,GE STALLS: ATT. � DET._� <br /> NO. OF B]EDROOP•'�S: �_ ao <br /> � <br /> ��'�LrvIA,�"FI1 CONSTIZ�JCT�ON VALUAT�ON (escluding land): � ------ <br /> � s a .• 1 '�or a t�uil�.i.ng pez�mit and I acicnowledg� that the inform�at�o�s�f Lt�Ps Czry��nc�ltti, <br /> z h:.re�� F� Y <br /> arcu.Yaz�; t��ar.the wrrk w��l b� uz coz�fo�nance wxth the ord'ulance5 a <br /> t- ,-:�te Bsil��.�� Cude; Chat I unde�tstand th�s ts not a permit v d�lar. is rc�i to sLar: w�th��1t a <br /> L,t� S.� <br /> pezzx'=;t; ax�d �hat the �v�z':� wi!i be �n acccrd ce ith the app�o � <br /> 3�A,�`,: _����.II.�._- -- <br /> �i'�"S �l�isi�l�'���� --------- <br /> t'��'1�':�Tt;..�.. . <br /> roval by T'o;'ice L'1�n���:nt �ti� <br /> /��} , ,�ar�u*L ryj N(ary7;� ^rents r'er�tcir'e sepn.ruts per�nit ap� � <br /> •�'''V J.i- ._SGS ,•� <br /> t"tv �'o�nci: 6� dc���s�n�or taa tz� e�e:tt. ?�"Dn-���itxed evenss will n�t b� ���v,w���. <br /> �a� <br /> :i°a_� ?rt7/lLJ e EJ6-i 919�E'TZ258- ONOaO �U ,llla-woi� wegp: �l 2[;0'-1�-",cIJ <br />