HomeMy WebLinkAbout05070240-Application~Permit #
Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
ST^~ ~
PROPERTY
OWNER:
$~c"rION
LOCATZON
& PRO3ECT
Z.FO: , D. OFCON U ON II 2
SEWER UTIMTY
NAME OF UTiLiTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERH~T #'S (IF APPLICABLE):
NEW STRUCTURE
EST~HATED COST C
(EXCLUDING LAND VALUE)
C~ BASEHENT
# Charged Re-
Cert:°fOcCupancy. i ,
.R.LF.. Additional Fees