Laserfiche WebLink
, - �"�� ���"'�-�=�� <br /> - } <br /> . � � <br /> _ . . • � i <br /> �P�LdCAT9�� ���A H���'C3�� �rs��e�r ; <br /> . � <br /> s`��R�'lF1�ATE CAF At��'R�lPF�1/��NE��" � ._ � <br /> � <br /> eysmt�Applicaffon#�{'/����� �'orrtributirrg: es ,V� Date Su6rnrTfec�: _ � <br /> . ,�.�. �, - _ � <br /> �� <br /> ^ , ��AP��Please provtde ktferrna#oa t►siwear�ttte ddtrbt�lir�es) <br /> �4 PrOperty Adrlre5s or lot�tion: ,`���� -.. � f� -���t°,t..,� �,�,�P,t��17,��l S �,1! �-�,� '�=aC. � <br /> ` � � � �J�/ r-� � <br /> Ch+met's Name: (� rY1D� � J L"�t�� _�"I.�..�..�r� PEwme: ��3��5 �S "�U L I f <br /> ' F <br /> F <br /> APP�ic�nt's N�ne 8�Gampany(�f�fe�: � <br /> ApplicartYs Ma9�ing A,ddress: `��1��,'�i 14�11�"�: .�h;,� �,�1 I S_�_ C <br /> APp.Cbntac#Info: Phone:_„�.'�,.�2_I��:�����Faos;3� �mail: '���„w�.;p (}�7 �1��7T/�7?rg�L-CvfrJ ( <br /> Ty�ae c�f�Prope�ty: Resi�ent�l� Cornme� �ubiic or t'�ther <br /> 9 <br /> . . , � <br /> PROPflSED RESTORATfON!RENOVATIOIVS I REPIo�RS/RELCIG,�ATIOIY!ETC: E <br /> 6der3or-Fll/alls • � S(�na9e ( <br /> E�deriar poars • �3glM�sg ( <br /> ,- 1NMdaws 3dstiv Mai�BeaEldfng or Aslctitlan ba 6asling 8u8dng f <br /> Pal�he�s t�taw AR�ce�sary.BSdg.(garage,carpo�t,shed} <br /> arp � <br /> Awnir�gs or�arwpies �sw aectc,ramp.pa#o,et�c. I <br /> Fenang E3uitdlrtg,Demflii�on or Re�acat�an } <br /> E�derior Fairttit�g&Cabr Changes �enera!Repalrs(rlescribe betov�J i <br /> .. ,�Roc�fir�g � Otfser(desrxsb,e be}aw) i <br /> � ' r <br /> aet�te+d desc�ti Dan cf pro ed wock� (at�aett otner sheet��`n�sary} - � `' � <br /> ( c' . . � !1 F - ) r . � <br /> . .. . . ._ _ . . ; <br /> _ <br /> . <br /> - • • . - - � � - - �- - -- - - ----._— __� ._.... ; <br /> The F�s�o�ic f't�serrairon 8o3rd�eqtures tttat!he fa�Eowt�ng lrtfarmatic�MUST be InUuded with an appilca�n pcio�t�t�e � � <br /> �ir,�on belrsg accepted by sh�F � � <br /> . Detalied Plans,iactuding a ' lan and e(gva n($h <br /> '• �,.1or�d meterial sar��: <br /> • ManuFac�urers¢�.1 s iit�a#ur�: � <br /> • ,�tont�cr(�ectd <br /> • My Ottier suQnctrt�{g documer�tation tq show that the proposed work Is conslsterrt with�t�e adapted Qepart�teatt <br /> of erFctr S#a�sdards. <br /> � �� , `� _ �..'� <br /> SlGNA THE OWN APPt.lCANT'� r� <br /> � fAppl'rant da IwOT w�e B$OW�1ris J�ne) <br /> �.�-- <br /> AGTION TAK�i: Date. -' {✓; <br /> �8y St�: A��ved�, Densed Reasgn fcr Dental: <br /> �8p HPB: Approved Ap�roved with modificatiortis nated betow'andfor an attacbed sheets <br /> Derried <br /> 'NPB Cct�ditior�(s)af ApprovaL <br /> signed: oate: �P <br /> ,�, .�-G <br />� <br />