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05110056-Application
For Single Family, MulU-Family, Structures, AddiUons, Remodels, & Accessory Structu~s OWNER: /'----~ / _ ~ SECTION ] ZONING: PLUMBZNG :: - - :-~ c: .~ ~E '- -~ - = -: ~P F~M''= E T: / //~/~ ~ ~ S~NGLE FAMILY ~ N~ ~RU~URE TOWN HOME ~ R~M ADD~ON(S) Plurals ~'diana S~ U~n~ ~. ~ ~O FAMILY ~ ~RCH ADD~ON(S) ' ~ ~ ~ ~ ACC~SORyREMODEL BU[LD~N~ ~1~ plumbing ~ will ~ appli~ ~ ~e ~ D~ACHED ~E ~ ~n~Uonal R~idenUal ~e w/~iana Amendme~ Add,ons, Rem~els, Etc.) ~ DEMO~ON ~ Uni~ ~umbing ~e w/~iana Amendme~ ~ 1- - - i := _: Ea~yRel~ Manu~umd ~ ~PE: (Ch~kall~ta~r~e~w Pe~it: ~ ~N T~: ~Y N ~,~on a~) ~t Split: Y ~N Sump Pump: __y ~ ~ C~W~PACE ~ ~ · ~S~B ~ ~EME~ ~ i~J par ~f ~ ~ li~ wi~i~ i s~l ~ d~l~ ~m~: __Y ~ WA~O~:__Y ~ N Site (Date) C TY C # Char~ed Re- Reviews Addil~o~l Fees