HomeMy WebLinkAbout05100074-ApplicationBUZLDER of
RECORD:
STREET ADDRESS
ADDRESS OF CONSTRUCT[ON
; of Construction)
ZONING:
WATER LiT[LtTY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKEr NUMBERS;
COUNTY WELL AND/OR SEPTIC PERMZT #'S (If Applicab~e):
,'.'F .~-
~ COMMERCIAL
(Mivate~,/owned heRo. Is
and r~clical o~ces/centers
are commerda )
C~ INSTJTU'~ONAL
C~ Nun dpat/Publ c B~dg
[] Church
ATTACHED GARAGE
C3 CRAWL SPACE C~ CELLTOWER (New)
POST&BEAM C~ BASEMENT ~C~
(or POST & PIER) WALKOUT:~N
L_J
NEW TENANT FINISH
C~ ACCESSORY BUILDING
~ DETACHED GARAGE
STATE
FAX
STATE
su~ # (ffApplicab~e)
(If Applicable)
TAX MAP PARCEL #:
Z~P ~
OCCUPANCY CLASSIFICATION:
Manufactured
Trusses: y
in a
~lditional Fees
!