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HomeMy WebLinkAbout05090006-ApplicationBUZLDE~ of RECORD: PROPERTY OWNER: LOC, AT[ON ~b~)'~ Permit,g:__ I PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PHONE FAX LOT # SECTION INFO: = co~smucnoN zip ZONING: FOOTAGE: SEWER bl'i Ll'Y WATER UTILtTY ESTIMATED COST OF CONS-FRUCTION: PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) NAME OF Lff[Lrry EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOO(Er ~::~/,;~',~-.. ~{'ii~ :F) : PLUMBING CONTRACT. R~ C3 SINGLE FAMII~joc~io c~i~ · of Un ~: ~ ~u~,~m~ t~r, . "~ A~ACHED ~GE Addifi~s, R~e~s, ~.) ~ n~Mn~ ~n~ ~ .......... (Nula-Famil, -; - - i _ -j Nanufa~u~ N Tm~: ~Y ~N ~on ama) Sump Pump: ~ any ~ ~ ~e pm~ lie wi~in a s~al R~d designa~on a~: ~ N WA~O~:_ Y N ~ 180 ~ys o[ ~c ~ac¢ o[ ~cc o[ ~c ~g ~c, ~u~cc a~. C~ ~ s~c~ ~ ~ subject ~o ~c ~ A~dvc [~ o[ ~c S~cc o[ ~a ~ 675 ]AC 12) ~g ~do~ ~m ~ ~r or A~ ~e~ ~ ~ OF~CE USE ONLY: **************~ ********************************************** ~s: INSPE~ON~ · ~a__d~ Re Up~r F~Ung Lower F~ng R~iews Ce~. o~ ~cu~n~: Ro~h ~n Me~r Ba~ Final . ~~ .k ~ P.R.I.F.: Addi~onal ~ ~ / , ~ TOTAL: ,IZ R~/~~mmni~ ~ (Date)