HomeMy WebLinkAbout05070212-ApplicationRECORD:
? LOCATION PERMIT APPLICATION
Additions, Remodels, Tenant Finishes, & Accessory Buildings
PHONE FAX
BEST METHOD OF CONTACT:
PHONE FAX
CITY STARE
f different bhan Address of Consb'uc~on;
BUILDING, PRO3ECT,
SCOPE(S)OF O FDN E3 ~ ~ ARCH ~ MECH ~' S~UAP~
RELEASE: ~ ELEC C~ SPKt. R OTHER(S): FOOTAGE:
COUNTY WELL AND/OR SEPTIC PEPJq~ #'S (If Applicable):
Etevator or U~ [3 YES BLDG,
P : = Ii RM_-'r~ N:
EaHy Release
Permit: Y ~ N
Lot Split: Y ~ N
Manufactured
Trusses: _Y ._.~__N
~ump Pump: Y '~ N
~,~ ,: ~ Does any pair of the prope~4~y lie within a special Rood
r ~ ~ designaUon area: Y_~N
[] Church ~ ACCESSORY BUILDING - MBIN --NT~-- OR..
O~TYPE: I ~) DETACHED GARAGE :,~,,/~/' _ ./
new con [] A'CrACHED GARAGE
[] CRAWL SPACE [] CELL TOWER (New)
OST&BEAM [] BASEMENT [] CELL TOWER CO-LOCATE
PIER) ~VAI~KOUT'. Y~'~ N [] DEMOLITION ....
:$cc 675 IAC 12) regarding expiration time frames for
,y the ]~=pa~-t~e~t of Co~m~ity Services, C~cmet. [adJa~.
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