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' _ . ,Mb 1 1. �il V'11YIeV � °J 16������ �� ������✓� ��.�� � •ii��0�'d S9M.�L� <br /> ��l'� ��: � ��C �CCC�IlCd: <br /> �I14LICd �,�: pCTIIlli!�: <br /> . C�7'�' (�F OI���iO � �3�,I)YI�T� P���' .�'g�I.ICAT'IOrT <br /> , . <br /> . . AI} �n�c��°m�tlon�nu�t be submttted !n Fult��fo�re plan r�vaew �vfll be started. <br /> �� (pyease��iut all arcformardon) <br /> Tl� ��'LIC�TOi'I' �S:�----(cir�le one) ^ 0'RIN�R OI�~ OPt - - -------�___�....�__ <br /> . '�'RACT�R <br /> _. arc�a s��,��a��s: l l l00 N-e��-,�ao,�� Lc�r� zr�: � 539 I . ,.;� <br /> �: �� oF o�v�a: __ �u� ��� ,� �o�: c�o����s�.y�-� . �-ac�a <br /> (wmrk) <br /> �#IL�iG�DI�i�S: � C1TY• !Z�: <br /> . <br /> � <br /> cOri1TRAc'1r�R: "�c.n�.wo.� �u��d�..y��. PI�Or.�: �s i - a�4- �,.���- <br /> . C+DNT�#�T PER,�CDle1: 1l��BILElPAGEIt: <br /> ' � 1b�AIL�IYG A�►fl�s: 19 a 0 Co vn��?,�1. C l�s�CIT'Ye �o�-e.v;11�. ZIP: S� <br /> ��'Y'�#T� �.ICEWSE: � ao� 9�� <br /> � �C�'I'�CT/�A1GIldE�1�: PY$�ATE: <br /> 11�Ir�II.I[�iG�.AlDR�3: C�'!'1'• ZIP: . . <br /> . NAME: 1�GI3"y'�tA'TI�N� <br /> °1'Ylf� O� '4�V014�IS: New Add"uion �c�essory StrucWts <br /> TMove It�model/A1t�eatlan Land Altsration <br /> ��POS�D V.VORK(descr�be irs d�tai�: a ,n p,,�Q � �,�p�� ��m <br /> ., � <br /> ST���t SQ.F'I��T�F�ACIi�'I.O��L: <br /> PiTQ. OF �E1�00�: �AI�AGE S'TAI.LS: ATT. I)ET: <br /> Eg"I'IM�,�D �O�iSTRUCTIl��1 V�I.UA7CXOM (�accluding lan�: � q}q�j Q �o <br /> I h�ceby ap�ly for a building p�ttnat�nd I ae9cnowied�e th�t the informatian above is eompiete snci <br /> �cccurate; that ghe work will b� i�s�r�fonnance with the ordinances and �odes of th� City �nd with <br /> . ' t}� State �uildln� Code; th�c I uaderstand th�s is not a permit �nd work ls not ta start vvithout a <br /> . peranit; �nd that the work vtirill be in �ccordance with the approd�d pfl�n. <br /> �PI.I�AI�1''S SI�NA'H'i7 ": � I��,1'�: �� •� <br /> 1W�7'.�! ,�arad� of F�or,eec ev�rats r�qufre �ep��ate permit a�prov�l by �ollct I)�pac�t�ent artd <br /> City Co,��ecll���tays prlor to tlae event. 1`l0�peam�tted sve�cts wtll r�et b�a�lowed. <br /> Rorcive.� Ti�.,� C,.� �A 1 . �7D1( D..:_ t m:_._ r _ _ n� � �nmr <br />