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05050174-Application
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structu~s PHONE STATE PROPERTY owN..: LOCAl'/ON tot ~ & PROJECT -~- - LY ~ ~RU~RE [OWN HOME ~ R~N ADD~ON(S) ~lum~¢~ ~O FAN[LY ~ ~RCH ADD~ON(S) ~ of un~:~ ~ RENODEL ~ ~UL~-FAN[LY ~ A~ESSORY BU[LD[NG · of Un~: ~ R~[DEN~L (For ~ D~ACHED ~GE ~In~ma~nal ~d~ons, Rem~els, E~,) ~ DENO~ON (HuIU-FamJl) P z _, _- _ , EaSy ~1~ Hanna.md ~Y ~N ~n~on a~) Pe~it: T~: L~ Split: ~, ad~, ~d~, ~o~ acc~o~ s~c~, ~s pc~t ~ v~d only ff cons~cdon comm~c~ J Jays of ~e &~e of ~ce of ~e ~ufl~g ~r, ~d must be compler~ (C~icare of Occup~cy ~ued) ~ 18 mon~ of thc J s~c~ ~ ~ subject to the ~er~.Ad~a~ve R~ of ~e Store of In~ (~e 675 IAC 12) r~g ~a~on ~ ~mc ~ for ~ng ~d comple~ng constmc~on. or ~r~a~on of a s~c~, or ~y ~ge ~ ~c u~ of ~d or , of ~e Stare of ~m ~d ~ Acrs am~&ro~ ~d OFF~CE USE ONLY: *****************: ~QUIRED: