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_� <br /> ��������'8�� ���� �@�'����� ���'��@�`� <br /> ������������� �� ���������������9� <br /> �y st��:,4pplic�fian#. ���f���a�fd�ga ��s!�� D�t�,���arr�ia'�e�m I <br /> C <br /> ^ _ (�ppli�ar�$}'lease prU�ri�'e infa�arafioar b�tr�een fh�double lines) <br /> .. <br /> /1 :335y�- <br /> � ��E�ropert�Addre�s o�L�catior�: �g� 1�t` �t(-�� �7 Ve., �,e���/i�/���15,, �j� <br /> -- <br /> ca���������: ����a.. C�-/��w,� �n0��: ��ss— 3 yy� � <br /> APplicanY�Plam��Corvrpany(ifdlfferent): I <br /> APpiican4'� Mailing Addres�: �S�'f� ar� �U`�, �-�.,�,�+v��i i 11.5 ��.. 3 J�{.S�ol,� <br /> �PP� �onta�4 Info: Phon�:�13-355 3 y y�f ��xe �aii: p c.a��oc.� �,'. G-in�i 1, r.�� <br /> Typ�of Property; Residentiai,� ��I me�ia9 P�abli�or atf�er <br /> �R�1�t3SE� RE��'t7�A'�°tQR9!Ft��{�V��°i#��951����'►I�S 1 RE���,�°6tt�i�1�7'�. <br /> Exterior 1lVatls Signag� <br /> Exteriar poor� . �igfiting <br /> Windows . New iUlatn Building or Additian to Existing Building <br /> Parches New Acc�ssory Bidg.{garage,carporf,�shed} <br /> Awnings o�C�r�opie� iVew deak,ramp,patia,etco <br /> Fencing �uiiding,Demolition ar Relocation <br /> Exterior P inti g Gator Changes GeneraB Repairs{describe belav�rj <br /> xt <br /> �✓' Roofing �prr��� Other(describe belovu) <br /> D' <br /> �e4ailed descrip� fi propased vu�o�{ce (attacF�o�he�i h�ets if s�ecess�ry� <br /> I <br /> TEte Nistoric Presenratior�eoard requires that the fot!Iu�ing ir�formatiort����'be included vuith ar�applicatiara prioc t�8t�e __. -- <br /> application being accepted by staff: <br /> e Detailed Plans,�including a site olan and elevatianisl: <br /> � Color and material s�mnles; <br /> e 11�anufacturer's sales iitera#ure; <br /> � I�hotagraol�s:and , <br /> o Any other su000rtina documentation fo shove 4ha�fhe proposed work is cansisfen�wifFi the adop#ed[7epa�i�n� <br /> ef Bnterior S#andards. <br /> �� Cs��,�••-.. - ���'w►�.. ���1�-�----- <br /> SIG�ATUR�{�F tHE QW�UER arad/ar �0.��i.ICAP1� <br /> A J`cant do lVt77°u�rite BELOW fhis Jine <br /> A�'�d�6'�T'e�6C��: �2te: - 1 ✓ � � <br /> ❑�y Staff: Apprc�v�d �` ��nied Re�s��t far�enial: <br /> � <br /> ��HI�B: Approved pproved v�rith j odi�ica4i�ns nated b�lou+*and/or on atfiached sheets i <br /> Denisd <br /> '"F9PB Condition(s)af A pr�iiv I: <br /> � � <br /> � � �V <br /> Signed: Date: <br />