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05060038-Application
or ZnstituUonal: Ney Permit #: ~'] Remodels, Tenant Finishes, & Accessory Buildings RECORD: PROPERTY OWNER: $1¢114, B,I11.,,[ ~oRPo~frlo,J ll~ r~ ETR~'T Address of Shell Building (If different t~an Address of Constru~on) PHONE FAX C1TY STATE PHONE FAX ~l~- ~q~z ~Tt - qo~q C~Y STATE Z~p and ~ut~llvlslon (If Applicable) ZONING: SEWER bTILITY PROVIDER: COMMISSION / BZA / BPW DOO(ET NUMBERS; AND/OR LuuNTY WELL AND/OR SEPTIC PERNIT #'S (If Applicable): FOOTAGE: ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) BLDG. CONSTRUCTION TYPE: * NEW STRUCTURE Early Release Permib Lot Spl~b iai Flood [~] CRAWL SPACE POST & BEAM C~] BASEMENT :) WALKOUT: Y _N SARAGE [] CELLTOWER (New) E2 DEHOLITIOI ~,all a Filing Fees: Base Inspections: Cert. of Occupancy: