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HomeMy WebLinkAboutApplication.. Please Print o4P~LICATtO~ FC)R B~II~DIN P~F~MLT Date of Application: ~ ~~ ~~ Work Location: / ,r~ (~J `l-~i e /~i°L~ e `-- . Lot Block Subdivision Project Name: ~/'~~- ~~~~ Owner/Tenant: ,/~®~°L°~ ~1J~2/~~ Phone: ~l ~~ °"'D`7~ Owner Address: `~71v~ G~~ s~T f ~ v57'~.e.r 7~ "Z7d ~~ Contractor: ~~/~/L~ ~ ~/G.~ ~t~l~ Phone: '~~`~- ~~ ~S~ Contractor's Address: l~~ .~ fT xr ~~l ~~ /~ `7~4~v Electrician: Plumber: HVAC: CLASS OF WORK. / New .Remodel/Renovation "Sign Addition Swimming Pool Repair Demolition .Moving Community Development USE OF STRUCTURE: Description of Work: ~kl~ 1Lr!~ D f)L~G/~Gl ~~ ~'%~1 7a r3~ ~ L./,~t2~ . Valuation: $ ~~ -.--- Foundation Type: Ext. Wall Type: Total Area: Roof Type: Int. Wall Type: Heated Area: Number of Bedrooms: Number of Bathrooms Carport Garage: Double Single /Attached .Detached Signature of Applicant Staff Use Only: ~- ReceivedZoning Official Plans Examiner ~. ~. °~~._. Conditions/Comments: /1/Gn ~'~yk ~-e Revised 12/96