Gct=1A-10Usi� 23��03 08���7�iDI�,ISuE,��RNV� INC ���_ �8522494816 ?-284 P.006/�08�1 F 461
<br /> '�oc�l ����: � S Dace Receivzd:_ �t�'�� �y� �' ,
<br /> �r_L�r�d Sy: T. � Pemnit#�, � __ J t ;,,��,' �''? .
<br /> � i
<br /> �1'�'�Y' U�' C�]�C)hd0► - li�II,DING P��.'171T �PLICATIOI�I '1 ���
<br /> ,
<br /> � :yit�I ir�formatia+� c�iust b+� �a�bir:itted in full befdrre plars review vvill be started.
<br /> (p!ease prinr all irrforn�ation) �
<br /> ----� __.._�___-• -----___�..____... ._. ...�,....�.__,.,.,�__-- -- ----r---�------__� ._--------------_---..-_
<br /> T]L-iE �F`Y.IC:�"�"T I5: (circle on�) V�/NL�It �C�NZ'FACTOR
<br /> � ��B s�� �����; �6 n : �-�� � _Z�:. .�5�3� �
<br /> , , �
<br /> �'�.:�i�: ��' dJVS��'�Elt: W � �G� l��� _� i � PHO�'E: c�am�� �.�a �a. ;3033
<br /> , � � (work) .`_'_.
<br /> :VL�YL1:ti�C• �DR�SS: .��� ,�.._�YTY: �ZIP: ,
<br /> �
<br /> � .
<br /> C�``�"I�.�;'x'U:ft: � P]'rYONE:
<br /> �.,_...._.. ._...._,._..._��,._......_.__.�....,._.,__� _....�.._...�.....---•--- —
<br /> CO\Y�'ACT,-P��SON: __.___._._. _...._.------- ��O�ILEl�'A���'....�_.,..__
<br /> N�.:�lIY.L�'G AT�DF�ESS:� .. ...w--.-----. !CXTY; �._ �ZIP:� ,
<br /> _. . ........ ...
<br /> ST,�,T� �.ICF;`dSE: #_ ,
<br /> �
<br /> £
<br /> �tC"�T'T`�`.0 11E:�INEER: --.---M � Pi�O`�:
<br /> �'�,:'1.J�L�ti CY Al]Di�S�: .....,�.__.___�--- ,�CITY: zYP: ,
<br /> ��.tif�: ____--— �C1�'X'�l.4TYUN ti
<br /> — � .
<br /> �
<br /> � �
<br /> �'Yp�; ��' '�V�J�:: N��v �dditior_ ' AcCessory Structer� _,._ ,
<br /> �iat�;; RCmodel/41t�ration � Land ��eration
<br /> � �I'dS�;l��JC�'kf�. (dr,stri���n r�erai � n/� �I�/ M..V V.V.
<br /> PK . �� _.,L.._,2�.... J� �f ..G�+��
<br /> —__. _ _....... _..,.....--------- �� �� _�...,�_
<br /> S�'CDRI�;�: � 5�. FEET O�EACH FL.�()R: y d0 _... ,
<br /> ItiG. �F �EDILf�Uh�Ia: � . GAIt�iG� STAx,�;S: AT'T. _ Y)ET. aZ
<br /> ,
<br /> i
<br /> ES�T��'EI� CCy:�]'ST'R1�;�C 1�ta`til VA€.��'�Za:V (excl�ding!an�): ,�,�D�, �
<br /> �
<br /> I h�reLY :��piy soc �1 t��i��ji�� �p�rraic a.nd I a^kri�wle�ge tti�t th�: infotm�ti�n above is e4mpl�t: a,nd
<br /> ac��rwti:;; u=�i �t�� •��:�r�. �wi,;l be i��or�fotrs7auc� with the qrdinanc�s �.nd codzs of rhe Ciry ar_d Wilh .
<br /> �'l� ��c� B�;idu�� C;6�re; ��a; T ��n�.�Gr��and �his is not a ��rmic and work is noc ta srarc wi[�iout 3
<br /> p�rx�t; ar.� c��:�c L� WOT�C. rlVi� �C ui a dancz wach �hr approved pian.
<br /> ., , ,�. �a ,- � �`� �.3
<br /> r1pPI,�C4.:\T S 5dG1� CUR.E� i '1�, �
<br /> ��---- ------ .
<br /> �'���;, �r�,t� �t � events re uare se arate er•rrrdt a roval b Police De artncaRt Qnd. .
<br /> ' ' �_,_Qf� �1 P P � PP Y P
<br /> Ciiy �ot�nrrf v'D duys priar t� the event. Nan�ermitre�t eve�t�� wvYld not be �aYlow�d.
<br /> I
<br /> s �
<br />
|