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, MulU:Family~ , AddiUons, Remodels, & A~ry StructUres OWNER: INFO: --------*------ ~o~s o~ co.s~u~o. , NUM~; TAC DA~(S); ~D/OR ~U~ WE~ ~DIOR SEmC ~ ~ (IF ~): :F ~M:-R VEM ~ N~ ~U~URE TOWN HOME ~ R~M ADD~ON(S) Plum~s Zndiana ~O FAMILY ~ ~RCH ~D~ON(S) · of un~:__ ~ REMODEL ~ ~UL~-FAM[LY ~ ACC~RY BUILDING whi~ · of Un~: ~ D~ACHED GAUGE ~ ~ A~ACHED GAUGE ~ DECO.ON Man~a~u~ Pe~: Y ~N T~: ~, N Lot Split: Sump Pump: Y ~g ~t. ~d m~t ~ complet~ (~ of O~up~cy i~ed) ~ 18 mon~ of ~e ~u~ &re. C~ I s~c~ ~ ~ ~bj~t to ~c ~d Ad~dve Rdm of ~ State of InCa (S~ 675 IAC 12) ~ng ~on ~e f~m for ~g ~d comple~g com~cdon, m~ rd~a~on, or ~a~on of a s~cmre, or ~y ~e ~ ~e u~ of~d or . ffi app~cable hws of ~e S~rc of ~ ~d ~e 'Zo~g ~ce of C~d ~ of I.C. 36-7 er s~, G~d ~s~ly of ~e S~re of ~a. ~d ~Ac~ am~&ro~ ~, ba~. ~d fl~r ~ ~y ~e Dep~t of Co~u~ Sedco. ~. In~. OFF~CE USE ************************************************************************ Filing Fees: ZNSPEC1/ONS REQUTRED: # Charged Reviews ~tl:y Services (Date)