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<br /> awtv�a�o rt-� ht , /"1� � �`'i � c.�� � BUiIDER F�d Y D �'� T3��L��. c enr�T.
<br /> �$*� ADDR€SS N/� y'x R-"'f`� �"r J ADDR�SS PERMIT N� 1105
<br /> �� �,' s,w PHOAJE t�s�. PHOtVE ;�0. �� (�' I
<br /> ��.�'+ Sec. No. Parcol No. lot ,
<br /> ;� Addition or Subdivision
<br /> �; � ,� ��a �b s�c � —
<br /> �F'"� �� WND DESCRI�ION BUI NG LOCA710N r YtiP1TiLATION �4ND UGki'
<br /> �' � ' Size of Lot Dis. From Road Percentage of Floor Area Vent. ��`
<br /> ;
<br /> , land Sg. Ft. Dis. Sides Percentage of Liglii t�o Floor Area
<br /> E6evation Dis. E�ack UNTEL� �
<br /> � Dminage Size�f)( /� Spcn `� �-Z
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<br /> COAiSTRUCTIO� Location �L �/��.
<br /> � Frame c� �rick, Solid �'JEIL TYPE
<br /> /' .� ,� �
<br /> Stucco Brick Veneer �/ Construction p���k '�� G `s' �
<br /> Stone Cement Blxk L«ation /h �• _ �.
<br /> � �Ott!'3C°sS SEPTlC TA[dK5 .
<br /> �, . Wspth f 'l. Least Dep4h Size j- $'drv --- /- G �`� �
<br /> �r��;�`'��;1 ��Y Distance From Well i �
<br /> �Y pfi4 �' V4+dth �yt.f- Below Grade "
<br /> Consfruction �r.,^y .
<br /> w '� ct F4�l3Ad�ATFA;�I-Construction . �ize
<br /> � ' M�, z%' 6 � �J" I'� !JRAlN€IIELD � � ,�
<br /> � '� �. g�,,,s��� Depth J � Distance Frv�n Well /G{�
<br /> ���¢t`ax �
<br /> � .,.,..
<br /> �� , Ground Drainage p �< �foor 'D /�/, Width 2 � Distance F�em�ot�inas ��;�
<br /> ' B�aring Posts ,f�� � Size�/ Spacing 1 � � length �C!`�
<br /> �`� ` Sa�ma S T-. SizeZ� �' Span /�' �'t,'., PLUDt18lR1G FIXf�1ReS ,� �
<br /> b ���t . ��L'
<br /> �rg y s', Ct4$f��#,�S 'l.P�.. . `/ Di�h 'Naoher/
<br /> ��"� No.2 Type /� '7 f l Sinks 2 � t�t (� � S Shower / '��, > >�
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<br /> �f `�� Faundation � hJ , ti laundry o • [ 7oitat //1 j� �� � ; �
<br /> �� Height Abova Roof �y. ' -� 6ath Tub / ! l � /. '7 Lavater�//f i� . ��
<br /> a�` I! i hereby agr that, in case pnrmit i.� 8ranled, nll wark �
<br /> x���� .�'imoke r^ipa--�istanca Pr�m J�istx �2.,, whlch ehall be cfon� end alt maMrials v.�ltrch shal! be vs.:3
<br /> �, �� ' � t�1,t3 '' shal( eomp�y with the pian. and spaelfieaiions submitted and� '
<br /> �Y � Sub F;oorirg f�Z with all the ordinance: of the Village o{ Jrono applicable
<br /> �,�,; , thercto and shail include dlf additionnl spec:9cattons as listed �
<br /> hi`�� ,i t,; Jaists Ir SizeZ.�G"2 Span /� below. r
<br /> `t�'"'� �Y s S�aci�� . /� .. � RYxRy 3To Bridging �r.G. /7,C
<br /> �;4,^�'� � Bearing /��CJ, �-.5,�. �`'-�1-1 �.CL �f�a� t' � / �4 �T d
<br /> ��"�p ; : Si'LiDA1riC35 RA�T�R.'S CEti-!N(i J035T5 , -
<br /> ���r� �
<br /> N r� SIZ� 2,7c� Size L x G Siz�Z X GZ�2� � � i �'+.
<br /> t �,�t ' Spactng /� " Soacing /G S�acing _(3,�,, 2. 1'� • � L (C�,�. S S'�'f.
<br /> � ;,er�4 . Flat@s D Spa� /� ���l�� Longest Span �-
<br /> r� ii;,rk;wr�
<br /> ���'� Brac�r, -
<br /> .�..:k. g 2� k �r v r��i T �
<br /> q�'�' �� Signed
<br /> �� . t—3• O � 'i � OWNER OR AVT'�ORIIID AQEN7
<br /> Basement — No.'y Size 5toirvrr�y 3 G Date /� �% G-!
<br /> �kx�_ lst Floor — No. Size J-'7�i. �iairway
<br /> ��,��,� ; Bidg. a��Plumb. s Sewa9e$�
<br /> �n>�`� �� �tVSULATI{90V — CQiiing �_(r Walls C � g-'O
<br /> ;.��'�'�` Site Examination $ Well a To4ai $5 '
<br /> PLUMBEI�.���- � WEII DRILIER
<br /> 4 ;,, . A�DRE°S U�{�- � • ADDRE55 _' � �
<br /> ��: S..�VY'��t CONTRACTOR �-f',.�,'°?�
<br /> ���� � � AnDRESS
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