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OWNER:
& PROOECT
INFO:
Address of Shell Building (If dfffemn
SUITE ~ (If Applicable)
TAX MAP PARCEL #:
scoPE(s) ( c SC~JARE
~ELEC ~ O~E~S): ~AGE: ~ ~
WA~R ~ ~ER ~ ~D ~ OF
~O~DER: ~O~DER: (~UD[NG ~D V~UE)
COU~ ~ ~D/~ ~C PE~ ~ (If ~ll~e):
[]
~ C~ Mezzanine or Deck
~ C~ ,i~3CF..SSORY BUILDING
[] DETACHED GARAGE
POST & BEAM BASEMENT
(or POST & PIER) WALKOUT: Y N
- I :-: 1/ N:
EarlyRelear~, Y ~ Manufactured
Permit. ~"~N Trusses:
Lot Split: ~ __~__N Sump Pump:
Does any part of the property lie within a special Flood
[] ATTACHED GARAGE
g IELLTToOWER(New) P umber's lnd ana State License #:
ELL OWER CO-LOCATE
[] DEMOLiTiON
R!ing Fees:
only
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