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. <br /> , , <br /> �otal�eea � •�,�0 0� Ilategte�eived: �-�3-�� <br /> Entered�g�; Peraa�t#: ,�-(��t)Z , <br /> CI'I'Y �F �ROl�iO -�IT�,DIleIG PE�'I'.A,�'PI,ICAT�OleT <br /> � a� <br /> �`� r�ll im��r�aaataon��st�e subnn�tt��in'f�all ibeffore plan re�aew�vili be started. <br /> �d� (pd�s�se pri�xt atl'anfa�catlon) <br /> 'I'�E APP'LICE11`1'�IS: (carcde oaae) �'bi�N�lt i�lg COloTT'I�CTO <br /> Jq�SI'TE AIDD�S�: 7" T 7'S�(�YT�� , : �J�L.a /�� <br /> �S3G <br /> Wili thi§be a Paradfe of�o�aes,Rea�►odelers Sha�case�oa�ae or ot�e�r Dfspl�y��a�e? <br /> ❑'�es �I�� If yes,a specaal event permit is required with Police Departmerat and City Caurrcil approval <br /> 60 days prior to the event. Shuttde bus service will be reguired unless applicant derrconstrates <br /> sufficient on-site parking fs available. Non permitted events will not be allowed. <br /> 1`1All�dE O�OVVlllEgt:� �.JY l II�.J P�OlVE: (hoane) JS 2� 7lJ�c -'aa� <br /> IYl h�►e o� <br /> N�A�i.IlvC t�DIC�Ess:.� " .c — <br /> Y� �- <br /> corrr�ac���: ��o�: `1G 3 • �a l— 5/yL <br /> COI�1'y"AC'I`�'ET�SOliT: I��IC)��.�+/P C'ir�+ F'i9�X 7C�3- ZZ -�'70�5 <br /> ��u.�tG���ss: '�rrY���,��z�: SS3a� <br /> �"�"��'E LIC�l�SE: # E�'��TIOl�T I)�T�: <br /> � �u� <br /> ARCHI�'EC'�"tYE1�IGIl`1EEI8: � � � P 1�1E: ' <br /> NiAII, ADDI� : ' .C ZYP: ���l��9' <br /> 1lTEiME: REGISTRA'Y'I010T: # <br /> 'I'3�FE O�'WO�: New � Addition Accessary Structure <br /> Move Home RemodeUAlteration <br /> PIBOPt?�EY�WORK(d`eserabe i�a e�et�ilj:./V <br /> �� 2� l�/N(L <br /> s����o � �.�������A���.���: e �- <br /> leTO.O�'BEDI804)1VI�t Gt�RAGE STAI,LS: AT'gA��ED D�TAC�[EI� <br /> ES�'�fA�l)�(D�15TR�TCTIOI�V.�I.�JA'�!'IOIV(ezcluc�ing�nd)a $ ��Q���' <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I uugderstand this is not a pernoit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> ���.�c���S�����: ,� G������A�E: ��/6 D� <br /> 31 <br />