HomeMy WebLinkAbout05120067-ApplicationFor Commercial or Znstitutionah New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUZLDER of
RECORD:
ECT
Address of Shell Building (If different than Address of Construc~on)
STATE
BEST METHOD OF CONTACT:
PHONE
SUZTE # (IfAppllcable)
Lot # and Subdivision {If Applicable)
ZONING:
SCOP~S)OF ~ MECf- C) PLUM S(~LIARE
RELEASE: (::) ELEC O SPKLR OTHER(S): FOOTAGE:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR A .'~ ~
COUNTY WELL AND/OR SEPI/C PERMIT #'S (Tf Api~cab!e): ~ ~L~
# of Room: Elevator or Uft: [:;] BLD~ CON~FRUCT~ON'
(EXCLUDING LAND VALUE)
(PrNate~ owned hospitals ~' ADD1T~ON
[] INSTITUTION~I~5 CC,, ~; C ~ ~'~' '~
Permlb
Lot
Does any part of the property_l
[] CRAWL SPACE
[] BASEMENT
WALKOUT Y N
[] CELL TOWER CO-LOCATE
[::3 DEMOLiT~ON